Eyad Abu Hamda MD PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

0101225495 Issued in VA

Legal business name

EYAD ABU HAMDA MD PC

Practice address

2740 Prosperity Ave Ste 200
Fairfax, VA 22031-4354

Phone

(703) 208-2273

Fax

(703) 208-1441

NPI assigned

Sep 6, 2005

Last updated

Aug 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eyad M Abu-Hamda, M.D.NPI 1619961638

Title

President

Phone

(703) 208-2273

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eyad Mohammad Abu-Hamda, M.D.P.C.

  • Critical Care Medicine (Internal Medicine) Physician
  • Fairfax, VA
  • NPI 1619961638
  Authorized official Same address or phone
• Pedro Rafael Villanueva, MD

  • Internal Medicine Physician
  • Williamsburg, VA
  • NPI 1609986942
  NPD (past)

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1851385926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3178",
            "city": "MERRIFIELD",
            "state": "VA",
            "postal_code": "221163178",
            "telephone_number": "703-208-2273",
            "fax_number": "703-208-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 PROSPERITY AVE STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314354",
            "telephone_number": "703-208-2273",
            "fax_number": "703-208-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYAD ABU HAMDA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "ABU-HAMDA",
        "authorized_official_first_name": "EYAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-208-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101225495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009999789",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Pulmonary Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.