A Hudaihed MD LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME103502 Issued in FL

Legal business name

A HUDAIHED MD LLC

Practice address

221 McKenzie Ave
Panama City, FL 32401-3128

Phone

(201) 920-6784

NPI assigned

Mar 17, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alhakam Hudaihed, M.D.NPI 1851580088

Title

President

Phone

(201) 920-6784

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alhakam Hudaihed, MD

  • Nephrology Physician
  • Panama City, FL
  • NPI 1851580088
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1285875468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1779",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324445979",
            "telephone_number": "201-920-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MCKENZIE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013128",
            "telephone_number": "201-920-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HUDAIHED MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "HUDAIHED",
        "authorized_official_first_name": "ALHAKAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-920-6784",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME103502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.