Provider Demographics
NPI:1972307312
Name:HAMMAD, ANAS
Entity type:Individual
Prefix:
First Name:ANAS
Middle Name:
Last Name:HAMMAD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10764 S SUPERIOR PL
Mailing Address - Street 2:
Mailing Address - City:OAK CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53154-8835
Mailing Address - Country:US
Mailing Address - Phone:414-520-5983
Mailing Address - Fax:
Practice Address - Street 1:10764 S SUPERIOR PL
Practice Address - Street 2:
Practice Address - City:OAK CREEK
Practice Address - State:WI
Practice Address - Zip Code:53154-8835
Practice Address - Country:US
Practice Address - Phone:414-520-5983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver