Provider Demographics
NPI:1053565440
Name:ADAM HAMAWY MD PLLC
Entity type:Organization
Organization Name:ADAM HAMAWY MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMAWY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:253-583-4829
Mailing Address - Street 1:11003 64TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-8523
Mailing Address - Country:US
Mailing Address - Phone:253-583-4829
Mailing Address - Fax:
Practice Address - Street 1:11003 64TH AVE NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-8523
Practice Address - Country:US
Practice Address - Phone:253-583-4829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602-868-012208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty