Healthcare Provider Details

I. General information

NPI: 1710355706
Provider Name (Legal Business Name): MAY RIAD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2015
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MOUNT AUBURN ST
WATERTOWN MA
02472-3923
US

IV. Provider business mailing address

632 BLUE HILL AVE
DORCHESTER MA
02121-3213
US

V. Phone/Fax

Practice location:
  • Phone: 781-653-0100
  • Fax:
Mailing address:
  • Phone: 617-822-3400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number277268
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number277268
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: