Provider Demographics
NPI:1932427127
Name:HAMAD, KAREEM (MD)
Entity Type:Individual
Prefix:
First Name:KAREEM
Middle Name:
Last Name:HAMAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:KAREEM
Other - Middle Name:HAMAD
Other - Last Name:ABOUELSOUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2209 GENESEE ST
Mailing Address - Street 2:HOSPITALIST PROGRAM
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-5930
Mailing Address - Country:US
Mailing Address - Phone:315-798-8263
Mailing Address - Fax:315-734-4988
Practice Address - Street 1:120 HOBART ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-4308
Practice Address - Country:US
Practice Address - Phone:315-801-1149
Practice Address - Fax:315-801-3565
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY271162207Q00000X
NY271162-1208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03622941Medicaid
NY03622941Medicaid