Provider Demographics
NPI:1568280386
Name:HAMEED, MOHAMMED DHYAALDIN
Entity type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:DHYAALDIN
Last Name:HAMEED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 STEWART AVE SE
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24013-1529
Mailing Address - Country:US
Mailing Address - Phone:540-655-8444
Mailing Address - Fax:
Practice Address - Street 1:1225 STEWART AVE SE
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24013-1529
Practice Address - Country:US
Practice Address - Phone:540-655-8444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-01
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant