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Danae Marie Hamouda

Student in an Organized Health Care Education/Training Program

Student, Health Care

3000 Arlington Ave, Graduate Medical Education, Toledo, OH 43614-2595

PECOS Enrollment

This provider is enrolled in PECOS as DANAE HAMOUDA.

Based on the most recent information from CMS, provider Danae Marie Hamouda is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:36 AM.

Profile Details

Provider ID
1316382260
Provider Type
Individual
Full Name
Hamouda, Danae Marie
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/6/2013
Last Updated
6/21/2021

Contact Information

Practice Location

3000 Arlington Ave, Graduate Medical Education, Toledo, OH 43614-2595

(419) 230-9623

Unlisted Fax

Mailing Location

3000 Arlington Ave, Toledo, OH 43614-2598

(419) 383-3727

(419) 383-6197

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer
Code 207RH0003X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 35.134142 Ohio

Provider Identifiers

ID	Description	Issuer
ID 0302793	Description Medicaid	Issuer Unlisted Ohio

Danae Marie Hamouda

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Vandenhout, Lauren Elizabeth

Falaki, Adesola