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Individual

HUMERA HAMID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
510 SPRING STREET, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 285-8393
Mailing address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 285-8393

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
11011866A
IN
2084P0800X
Psychiatry Physician
Primary
01063275A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000056294
ANTHEM GROUP
01
000000612952
ANTHEM PIN
01
100386460
MEDICAID GROUP
IN
01
1063415297
NPI GROUP
01
160780
MEDICARE GROUP
IN
01
2444451000
PASSPORT GROUP
KY
01
50704000
MAGELLAN GROUP
01
65927857
MEDICAID GROUP
KY
01
CG3623
MEDICARE RR
IN
01
CK2274
MEDICARE RR
KY
Enumeration date
01/23/2007
Last updated
05/27/2009
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