Provider Demographics
NPI:1902082969
Name:HAMMAMI IMAGING & ASSOCIATES MD PA
Entity Type:Organization
Organization Name:HAMMAMI IMAGING & ASSOCIATES MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:
Authorized Official - First Name:GHASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-HAMMAMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-668-9729
Mailing Address - Street 1:2513 W. TRENTON RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-5070
Mailing Address - Country:US
Mailing Address - Phone:956-668-9729
Mailing Address - Fax:956-668-9742
Practice Address - Street 1:2513 W. TRENTON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-5070
Practice Address - Country:US
Practice Address - Phone:956-668-9729
Practice Address - Fax:956-668-9742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-21
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL07442085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1424228-01Medicaid
TX142422801Medicaid
TX142422801Medicaid
TX00306RMedicare PIN