Basic Information
| Provider Information | |||||||||
| NPI: | 1730488610 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HAMILTON HOSPITALISTS LLC | ||||||||
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| OtherOrganizationName: | & ABDUL HADY M. KHEDER, M.D. | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 445 WHITEHORSE AVE. | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | HAMILTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 086101410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6095881122 | ||||||||
| FaxNumber: | 6095850309 | ||||||||
| Practice Location | |||||||||
| Address1: | 445 WHITEHORSE AVE. | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | HAMILTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 086101410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6095881122 | ||||||||
| FaxNumber: | 6095850309 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/18/2011 | ||||||||
| LastUpdateDate: | 12/23/2020 | ||||||||
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| AuthorizedOfficialLastName: | KHEDER | ||||||||
| AuthorizedOfficialFirstName: | ABDUL HADY | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT CEO | ||||||||
| AuthorizedOfficialTelephone: | 6095851122 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | 12/23/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 25MA07148900 | NJ | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.