Provider Demographics
NPI:1447838248
Name:AL-HAMED, MOHAMMED ABDULKAREEM (BS, MS)
Entity type:Individual
Prefix:MR
First Name:MOHAMMED
Middle Name:ABDULKAREEM
Last Name:AL-HAMED
Suffix:
Gender:M
Credentials:BS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6505 E 82ND ST STE 206
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-1588
Mailing Address - Country:US
Mailing Address - Phone:317-649-1757
Mailing Address - Fax:
Practice Address - Street 1:6505 E 82ND ST STE 206
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-1588
Practice Address - Country:US
Practice Address - Phone:317-649-1757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88002003A101YM0800X
INRBT-19-76474106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician