Provider Demographics
NPI:1629228226
Name:ABDULHAMID, MOHAMED M (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:M
Last Name:ABDULHAMID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9377 E BELL RD STE 343
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1504
Mailing Address - Country:US
Mailing Address - Phone:480-424-5255
Mailing Address - Fax:480-359-2575
Practice Address - Street 1:9377 E BELL RD STE 343
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1504
Practice Address - Country:US
Practice Address - Phone:480-424-5255
Practice Address - Fax:480-359-2575
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNOT APPLICABLE207T00000X
FL17998207T00000X
AZ47075207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ809932Medicaid