Individual
DR. HAMZA JAWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
790 CHURCH ST NE STE 400, MARIETTA, GA 30060-8957
(770) 405-2976
Mailing address
PO BOX 3157, INDIANAPOLIS, IN 46206-3157
(770) 405-2976
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2017010649
MO
2085R0202X
Diagnostic Radiology Physician
Primary
93975
GA
2085R0202X
Diagnostic Radiology Physician
MD21884
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578827044
—
ME
05
—
1578827044
—
MO
05
—
ENROLLED
—
IL
Enumeration date
06/29/2012
Last updated
02/21/2024
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