Provider Demographics
NPI:1861423295
Name:HAMMID, SAAD A (MD)
Entity type:Individual
Prefix:
First Name:SAAD
Middle Name:A
Last Name:HAMMID
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 1:5674 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-3254
Mailing Address - Country:US
Mailing Address - Phone:770-322-6161
Mailing Address - Fax:770-322-6191
Practice Address - Street 1:5674 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-3254
Practice Address - Country:US
Practice Address - Phone:770-322-6161
Practice Address - Fax:770-322-6191
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA049024208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000874244CMedicaid