Provider Demographics
NPI:1003273970
Name:MEHMOOD, HAMID (PT,DPT)
Entity type:Individual
Prefix:MR
First Name:HAMID
Middle Name:
Last Name:MEHMOOD
Suffix:
Gender:M
Credentials:PT,DPT
Other - Prefix:MR
Other - First Name:HAMID
Other - Middle Name:
Other - Last Name:MEHMOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT,DPT
Mailing Address - Street 1:24304 BASHIAN DR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-2922
Mailing Address - Country:US
Mailing Address - Phone:248-924-5318
Mailing Address - Fax:248-615-9833
Practice Address - Street 1:24304 BASHIAN DR
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-2922
Practice Address - Country:US
Practice Address - Phone:248-924-5318
Practice Address - Fax:248-615-9833
Is Sole Proprietor?:No
Enumeration Date:2016-01-24
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501006307225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist