Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | MD024391E | PA |
Y | 207RH0003X | Hematology & Oncology | MD024391E | PA |
NPI | 1053369561 |
---|---|
Provider Name | Hamid A Al-Mondhiry |
First Address | Hershey, PA 17033-0858 |
Second Address | Hershey, PA 17033-2360 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 16/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0007357390001 | (05) | PA |
B41207 | (02) |