Provider Demographics
NPI:1053157503
Name:HAMED, MOHAMED (DC)
Entity type:Individual
Prefix:
First Name:MOHAMED
Middle Name:
Last Name:HAMED
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29540 CENTER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5115
Mailing Address - Country:US
Mailing Address - Phone:440-895-3500
Mailing Address - Fax:440-895-3501
Practice Address - Street 1:29540 CENTER RIDGE RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5115
Practice Address - Country:US
Practice Address - Phone:440-895-3500
Practice Address - Fax:440-895-3501
Is Sole Proprietor?:No
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-05369111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor