Provider Demographics
NPI:1770590945
Name:HAMID, ABDOOL ROHOMAN (MD)
Entity type:Individual
Prefix:DR
First Name:ABDOOL
Middle Name:ROHOMAN
Last Name:HAMID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ABDOOL
Other - Middle Name:ROHOMAN
Other - Last Name:HAMID
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:512 BOWIE ST
Mailing Address - Street 2:
Mailing Address - City:BORGER
Mailing Address - State:TX
Mailing Address - Zip Code:79007-4046
Mailing Address - Country:US
Mailing Address - Phone:806-273-5300
Mailing Address - Fax:
Practice Address - Street 1:512 BOWIE ST
Practice Address - Street 2:
Practice Address - City:BORGER
Practice Address - State:TX
Practice Address - Zip Code:79007-4046
Practice Address - Country:US
Practice Address - Phone:806-273-5300
Practice Address - Fax:580-920-8067
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7240173000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK20073130BMedicaid