Provider Demographics
NPI:1962880724
Name:HAMMAD, AMAL S (ACUPUNCTURIST LAC M)
Entity type:Individual
Prefix:
First Name:AMAL
Middle Name:S
Last Name:HAMMAD
Suffix:
Gender:F
Credentials:ACUPUNCTURIST LAC M
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11403 WESTVIEW CT
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-2933
Mailing Address - Country:US
Mailing Address - Phone:301-433-3330
Mailing Address - Fax:
Practice Address - Street 1:11403 WESTVIEW CT
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-2933
Practice Address - Country:US
Practice Address - Phone:301-433-3330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-13
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02127171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist