Individual
FAWWAZ I. HAMATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 N STATE OF FRANKLIN RD STE 2, JOHNSON CITY, TN 37604-3645
(423) 926-4468
(423) 928-4838
Mailing address
701 N STATE OF FRANKLIN RD STE 2, JOHNSON CITY, TN 37604-3645
(423) 926-4468
(423) 928-4838
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21253
TN
207RC0000X
Cardiovascular Disease Physician
0101220430
VA
207RC0000X
Cardiovascular Disease Physician
MD21253
TN
207RI0011X
Interventional Cardiology Physician
Primary
21253
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004575129
AETNA
—
01
—
0020583100
BLACK LUNG
—
01
—
060049771
RAIL ROAD MEDICARE
—
05
—
1225023104
—
VA
05
—
3081422
—
TN
05
—
3081427
—
TN
01
—
3094949
BLUE CROSS BLUE SHIELD
TN
05
—
5824702
—
VA
05
—
64927205
—
KY
05
—
7906583
—
NC
01
—
P01368158
RAILROAD MEDICARE
TN
01
—
TN0111
UNITED HEALTHCARE OF THE
TN
Enumeration date
09/15/2005
Last updated
07/09/2025
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