Individual
IRAM HAMDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7151 COLLEYVILLE BLVD, SUITE 103, COLLEYVILLE, TX 76034-8030
(817) 416-1931
Mailing address
PO BOX 2959, GRAPEVINE, TX 76099-2959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J9698
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8W7861
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/07/2005
Last updated
03/25/2014
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