Organization Active NPI

Hammoud Neurology LLC

  • Clinical Neurophysiology Physician
  • Lafayette, IN
National Provider Identifier
1730937384
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
HAMMOUD NEUROLOGY LLC
Doing business as
Lafayette neurology
Practice address
975 Mezzanine Dr Ste C
Lafayette, IN 47905-8635
Phone
(765) 446-5220
Fax
(765) 446-5220
NPI assigned
May 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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

Authorized official

Name
Dr. Khaled Hammoud, MD
Title
Owner/Physician
Phone
(765) 588-7675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0600X Primary

Addresses

Primary practice location

975 Mezzanine Dr Ste C
Lafayette, IN 47905-8635

Mailing address

975 Mezzanine Dr Ste C
Lafayette, IN 47905-8635
Phone (765) 446-5220

Other names 1

  • Lafayette neurology Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715385600000",
    "number": "1730937384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 MEZZANINE DR STE C",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058635",
            "telephone_number": "765-446-5220",
            "fax_number": "765-446-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 MEZZANINE DR STE C",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058635",
            "telephone_number": "765-446-5220",
            "fax_number": "765-446-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOUD NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A",
        "authorized_official_last_name": "HAMMOUD",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "765-588-7675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lafayette neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.