National Provider Identifier

Mohaned Adil Al-Humadi, MD

Mohaned Adil Al-Humadi, MD is listed in the NPPES registry with a primary specialty of Sports Medicine (Orthopaedic Surgery) Physician in Olean, NY and a listed phone number of (716) 701-1510.

NPI 1255590915Olean, NYSports Medicine (Orthopaedic Surgery) Physician

Profile Overview

NPI
1255590915
Provider Type
Individual
Primary Specialty
Sports Medicine (Orthopaedic Surgery) Physician
Enumeration Date
June 06, 2008
Last Updated
July 21, 2022

Practice Location

  • 515 Main St
  • Olean, NY 14760-1513

Phone: (716) 701-1510

Mailing Address

  • 908 Niagara Falls Blvd Ste 208
  • North Tonawanda, NY 14120-2019

Specialties

  • Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X)
Full Record
NPI
1255590915
Entity Type
Individual
Last Name
Al-Humadi
First Name
Mohaned
Middle Name
Adil
Name Prefix
Dr.
Credential
MD
Mailing Street Address
908 Niagara Falls Blvd Ste 208
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-2019
Mailing Country
US
Mailing Phone
(716) 692-3302
Mailing Fax
(716) 692-4342
Practice Street Address
515 Main St
Practice City
Olean
Practice State
NY
Practice ZIP Code
14760-1513
Practice Country
US
Practice Phone
(716) 701-1510
Practice Fax
(716) 701-1517
Enumeration Date
June 06, 2008
Last Updated
July 21, 2022
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X)
Other Identifiers
03383617 (NY)