Provider Demographics
NPI:1861267486
Name:HAMMED, ADEMOLA
Entity type:Individual
Prefix:DR
First Name:ADEMOLA
Middle Name:
Last Name:HAMMED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2716 GARRISON DR
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-9882
Mailing Address - Country:US
Mailing Address - Phone:701-630-9696
Mailing Address - Fax:
Practice Address - Street 1:2716 GARRISON DR
Practice Address - Street 2:
Practice Address - City:MELISSA
Practice Address - State:TX
Practice Address - Zip Code:75454-9882
Practice Address - Country:US
Practice Address - Phone:701-630-9696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-24
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home