Provider Demographics
NPI:1700861333
Name:AMJADI, HAMID R (DO)
Entity Type:Individual
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First Name:HAMID
Middle Name:R
Last Name:AMJADI
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Gender:M
Credentials:DO
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Mailing Address - Street 1:8101 BIRCHWOOD COURT
Mailing Address - Street 2:STE R
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-2930
Mailing Address - Country:US
Mailing Address - Phone:319-233-3611
Mailing Address - Fax:319-233-0669
Practice Address - Street 1:5100 PRAIRIE PARKWAY
Practice Address - Street 2:SUITE 204
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613
Practice Address - Country:US
Practice Address - Phone:319-222-2700
Practice Address - Fax:319-222-2705
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2019-04-25
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Provider Licenses
StateLicense IDTaxonomies
IA02883207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine