Individual
DR. HISHAM HAMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 W REX ALLEN DR, WILLCOX, AZ 85643-1009
(602) 347-9920
(602) 569-8308
Mailing address
PO BOX 12578, TUCSON, AZ 85732-2578
(818) 687-7620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40384
AZ
208M00000X
Hospitalist Physician
Primary
40384
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z133363
MEDICARE PTAN
AZ
01
—
Z133364
MEDICARE PTAN
AZ
Enumeration date
01/16/2007
Last updated
02/23/2020
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