Individual
JAY MOHAMAD HAMZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1711 27TH ST STE 206, PORTSMOUTH, OH 45662-2669
(740) 356-8772
(740) 356-1264
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35.129664
OH
207RI0011X
Interventional Cardiology Physician
Primary
35.129664
OH
207UN0901X
Nuclear Cardiology Physician
35.129664
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0187578
—
OH
01
—
06167704
ECFMG
—
05
—
4757108
—
MI
01
—
5315021347
CONTROLLED SUBSTANCE
—
Enumeration date
01/17/2006
Last updated
03/30/2023
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