Provider Demographics
NPI:1295949907
Name:HAMO, ABDRHMAN (MD)
Entity type:Individual
Prefix:
First Name:ABDRHMAN
Middle Name:
Last Name:HAMO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 HARPER RD
Mailing Address - Street 2:SECOND FLOOR SUITE C
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3373
Mailing Address - Country:US
Mailing Address - Phone:304-461-3914
Mailing Address - Fax:304-461-3917
Practice Address - Street 1:1717 HARPER RD
Practice Address - Street 2:SECOND FLOOR SUITE C
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3373
Practice Address - Country:US
Practice Address - Phone:304-461-3914
Practice Address - Fax:304-461-3917
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV02524207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology