Provider Demographics
NPI:1811251473
Name:HAMEED, MAYSAA A (MD)
Entity type:Individual
Prefix:
First Name:MAYSAA
Middle Name:A
Last Name:HAMEED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MAYSAA
Other - Middle Name:A
Other - Last Name:HOMOUDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6532 ANTHONY DR STE A
Mailing Address - Street 2:
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-1422
Mailing Address - Country:US
Mailing Address - Phone:585-924-2100
Mailing Address - Fax:585-398-1217
Practice Address - Street 1:6532 ANTHONY DR STE A
Practice Address - Street 2:
Practice Address - City:VICTOR
Practice Address - State:NY
Practice Address - Zip Code:14564-1422
Practice Address - Country:US
Practice Address - Phone:585-924-2100
Practice Address - Fax:585-398-1217
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY282177207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04307517Medicaid
NY04307517Medicaid
NYJ400265966-GRPBA0017Medicare PIN