Hudali, Tamer Hamdallah

Hudali, Tamer Hamdallah is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Hudali, Tamer Hamdallah can be contacted via phone (601) 268-5650.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 268-5650
Fax: (601) 579-5240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.36995 Alabama
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-134699 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X T9567 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X T9567 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 28388 Mississippi

Profile Details

NPI number 1770863615
LBN Legal business name Hudali, Tamer Hamdallah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2011
Last updated Feb 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770863615 NPPES
Mississippi MEDICAID 06207561
Mississippi MEDICAID 036134699

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