Basic Information
| Provider Information | |||||||||
| NPI: | 1457553588 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | HAMID | ||||||||
| FirstName: | EMAD | ||||||||
| MiddleName: | HOSSEIN | ||||||||
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| Credential: | MD, PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20524 MASON OAK CT | ||||||||
| Address2: | |||||||||
| City: | STERLING | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201653173 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2029093575 | ||||||||
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| Practice Location | |||||||||
| Address1: | OAKWOOD HOSPITAL MEDICAL CENTER | ||||||||
| Address2: | 18101 OAKWOOD BLVD. | ||||||||
| City: | DEARBORN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3135937000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2007 | ||||||||
| LastUpdateDate: | 09/10/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | 4301088482 | MI | N | Allopathic & Osteopathic Physicians | General Practice | 2085R0202X | 4301088482 | MI | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No ID Information.