Provider Demographics
NPI:1508446360
Name:MUHAMMAD, HAMZA
Entity type:Individual
Prefix:
First Name:HAMZA
Middle Name:
Last Name:MUHAMMAD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CENTER STREET STE 1- INTERNAL MEDICINE
Mailing Address - Street 2:
Mailing Address - City:FREDONIA
Mailing Address - State:NY
Mailing Address - Zip Code:14063-1769
Mailing Address - Country:US
Mailing Address - Phone:716-679-2233
Mailing Address - Fax:716-679-9698
Practice Address - Street 1:12 CENTER STREET
Practice Address - Street 2:STE 1- INTERNAL MEDICINE
Practice Address - City:FREDONIA
Practice Address - State:NY
Practice Address - Zip Code:14063-1769
Practice Address - Country:US
Practice Address - Phone:716-679-2233
Practice Address - Fax:716-679-9698
Is Sole Proprietor?:No
Enumeration Date:2021-04-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY326121-01207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine