Individual
DR. ALI HAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1300 E CENTENNIAL DR, PITTSBURG, KS 66762-6650
(620) 232-5705
(620) 232-5538
Mailing address
1 MT CARMEL WAY, PITTSBURG, KS 66762-7587
(620) 232-5705
(620) 232-5538
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0428445
KS
207RC0000X
Cardiovascular Disease Physician
1999137423
MO
207RI0011X
Interventional Cardiology Physician
04-35385
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100015080A
—
OK
05
—
100360810C
—
KS
01
—
103814
BLUE CROSS BLUE SHIELD
KS
Enumeration date
07/08/2006
Last updated
04/07/2020
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