Organization
HAMADA MAHMOUD MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH VANCE (BILLING MANAGER)
(304) 731-5823
Entity
Organization
Contact information
Practice address
5505 US ROUTE 60 EAST, SUITE 175, HUNTINGTON, WV 25705-2058
(304) 948-6754
(304) 948-6752
Mailing address
5505 US ROUTE 60 EAST, SUITE 175, HUNTINGTON, WV 25705-2058
(304) 948-6754
(304) 948-6752
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
20022
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810027419
—
WV
Enumeration date
12/13/2016
Last updated
12/13/2016
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