Basic Information
| Provider Information | |||||||||
| NPI: | 1437291465 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAMED | ||||||||
| FirstName: | MIRUAIS | ||||||||
| MiddleName: | SEKANDER | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 520 MEDICAL CENTER DR | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | MEDFORD | ||||||||
| State: | OR | ||||||||
| PostalCode: | 975044314 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5412826606 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 520 MEDICAL CENTER DR | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | MEDFORD | ||||||||
| State: | OR | ||||||||
| PostalCode: | 975044314 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5412826606 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/13/2007 | ||||||||
| LastUpdateDate: | 05/04/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | P20602 | MD | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | MD157973 | OR | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0000X | MD157973 | OR | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.