| Hamburg Family Health Llc | |
|
5130 Charlestown Rd Ste 1 New Albany IN 47150-9483 | |
| (812) 748-2523 | |
| Not Available |
| Full Name | Hamburg Family Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5130 Charlestown Rd Ste 1, New Albany, Indiana |
| Authorized Official Name and Position | Dost Mohammed (PHYSICIAN OWNER) |
| Authorized Official Contact | 8128501401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamburg Family Health Llc 5130 Charlestown Rd Ste 1 New Albany IN 47150-9483 Ph: (812) 748-2523 | Hamburg Family Health Llc 5130 Charlestown Rd Ste 1 New Albany IN 47150-9483 Ph: (812) 748-2523 |
| NPI Number | 1275164220 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 01/29/2020 |
| Medicare PECOS PAC ID | 7315375425 |
|---|---|
| Medicare Enrollment ID | O20200323002535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275164220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Dost Mohammed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609987833 PECOS PAC ID: 9133399165 Enrollment ID: I20110831000704 |
| Provider Name | Brooke Nicole Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235723719 PECOS PAC ID: 2769898600 Enrollment ID: I20210301002268 |
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