Healthcare Provider Details

I. General information

NPI: 1447255880
Provider Name (Legal Business Name): TAMIM HINEDI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 05/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

289 PLEASANT ST
FALL RIVER MA
02721-3005
US

IV. Provider business mailing address

289 PLEASANT ST
FALL RIVER MA
02721-3005
US

V. Phone/Fax

Practice location:
  • Phone: 508-646-7730
  • Fax: 508-672-0885
Mailing address:
  • Phone: 508-646-7730
  • Fax: 508-672-0885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number15707
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: