Individual
GHASSAN T HAMADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7150 W 20TH AVE, SUITE 406, HIALEAH, FL 33016
(305) 820-1050
(305) 820-1559
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0041672
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075154
GHI
FL
01
—
013123
AVMED
FL
01
—
026562
NHP
FL
05
—
042153700
—
FL
01
—
22846
WELLCARE
FL
01
—
2348185
CIGNA
FL
01
—
4072660
AETNA
FL
01
—
4467
DIMENSIONS
FL
01
—
58462
BCBS
FL
01
—
P01601036
RR MEDICARE
FL
01
—
P01619
FREEDOM
FL
01
—
P511048
OPTIMUM
FL
Enumeration date
09/26/2005
Last updated
05/12/2016
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