Provider Demographics
NPI:1912137639
Name:KEMEH, HAMMAM GHIYAS (MD)
Entity Type:Individual
Prefix:MR
First Name:HAMMAM
Middle Name:GHIYAS
Last Name:KEMEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7909 PLEASANT PINE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792
Mailing Address - Country:US
Mailing Address - Phone:407-647-2550
Mailing Address - Fax:407-647-0616
Practice Address - Street 1:4220 NEW BROAD ST
Practice Address - Street 2:APT. 301
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-6007
Practice Address - Country:US
Practice Address - Phone:305-332-9403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-15
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEFL-ME112530-A208M00000X
FLME112530207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist