Healthcare Provider Details

I. General information

NPI: 1225958143
Provider Name (Legal Business Name): DR. MADI KHALID ALMADI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 ALBANY ST
BOSTON MA
02118-3550
US

IV. Provider business mailing address

445 ARTISAN WAY APT 331
SOMERVILLE MA
02145-1241
US

V. Phone/Fax

Practice location:
  • Phone: 617-358-3481
  • Fax:
Mailing address:
  • Phone: 857-995-5273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDLNE11387
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: