Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A142596 | CA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 302637 | NC |
NPI | 1114345485 |
---|---|
Provider Name | Dr. Taymour Marwan Hammoudi |
First Address | San Francisco, CA 94143-0110 |
Second Address | Durham, NC 27705-3976 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2014 |
Last Update Date | 12/08/2021 |