Hamza Bassam Abo Zeed
Individual provider Active NPI Peer Specialist · Boise, ID
NPI 1073443446 · NPPES record last updated May 19, 2026
Key facts
- NPI
- 1073443446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- AD014475X
- Practice address
- 9688 W Canford Dr
Boise, ID 83709-5778 - Phone
- (208) 999-1278
- NPI assigned
- May 19, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | AD014475X | Yes |
Addresses
Primary practice location
9688 W Canford Dr
Boise, ID 83709-5778
Mailing address
9688 W Canford Dr
Boise, ID 83709-5778
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.