Healthcare Provider Details

I. General information

NPI: 1740638881
Provider Name (Legal Business Name): NEIMA HADI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2016
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 SALT POND RD STE B1
WAKEFIELD RI
02879-4323
US

IV. Provider business mailing address

24 SALT POND RD STE B1
WAKEFIELD RI
02879-4323
US

V. Phone/Fax

Practice location:
  • Phone: 401-642-4051
  • Fax: 401-642-5053
Mailing address:
  • Phone: 401-642-4051
  • Fax: 401-642-5053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD16541
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD16541
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: