Provider / Organization | NPI | Date Certified |
---|---|---|
MOHAMED ABDULHAMID BENHAMMUDA | 1861913329 | 2022-06-19 |
Mohamed Abdulhamid Benhammuda is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1861913329. Registration indicates Mohamed Abdulhamid Benhammuda is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Mohamed Abdulhamid Benhammuda MD |
Practice Office Address | 830 S GLOSTER ST TUPELO, MS US |
Practice Office Telephone | 6623776652 |
Mailing Address | 830 S GLOSTER ST TUPELO, MS 388014996 US |
Business Telephone | 6623776652 |
Address | City / State | Phone / Fax |
---|---|---|
3601 4th St | Lubbock, TX 794300002 | 8067436131 |
55 Lake Ave N | Worcester, MA 01655 | 5083341000 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |