1962197756 NPI number — MR. MUNTHER OSAMA IBRAHIM HAMMAD M.D

Table of content: MR. MUNTHER OSAMA IBRAHIM HAMMAD M.D (NPI 1962197756)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962197756 NPI number — MR. MUNTHER OSAMA IBRAHIM HAMMAD M.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAMMAD
Provider First Name:
MUNTHER
Provider Middle Name:
OSAMA IBRAHIM
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.D
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962197756
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
MEDSTAR WASHINGTON HOSPITAL CENTER 110 IRVING ST. NW
Provider Second Line Business Mailing Address:
DEPT OF INTERNAL MEDICINE WASHINTON, DC 20010
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MEDSTAR WASHINGTON HOSPITAL CENTER 110 IRVING ST. NW
Provider Second Line Business Practice Location Address:
DEPT OF INTERNAL MEDICINE WASHINTON, DC 20010
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-877-8271
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/07/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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