Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0102202554 | VA |
Y | 2080P0204X | Pediatric Emergency Doctor | 34010898 | OH |
NPI | 1154529774 |
---|---|
Provider Name | Alia Ismail Hamad |
First Address | Akron, OH 44308-1063 |
Second Address | Akron, OH 44308-1063 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2007 |
Last Update Date | 15/09/2015 |