Individual
RASHA SALAH HAMOUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
103 S CHARTER RD APT F, GLEN BURNIE, MD 21061-3161
(301) 760-8533
Mailing address
4402 CREEKCROSSING DR, LOUISVILLE, KY 40241-5510
(301) 760-8533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45538
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300006487
—
IN
01
—
K052355
KY MEDICARE (KOHMG)
KY
01
—
P01207504
RAILROAD MEDICARE
KY
01
—
P01890808
RR MEDICARE (KOHMG)
KY
Enumeration date
05/07/2009
Last updated
10/24/2017
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