MEDICARE: NEIMA HADI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	MD16541	RI
2	207R00000X	Internal Medicine Physician	MD16541	RI

General Provider Information

NPI Number	:	1740638881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEIMA HADI M.D.

Provider Business Mailing Address
First Line	:	24 SALT POND RD STE B1
Second Line	:
City	:	WAKEFIELD
State	:	RI
Zip	:	02879-4323
Country	:	US
Telephone Number	:	401-642-4051
Fax Number	:	401-642-5053

Provider Business Practice Location Address
First Line	:	24 SALT POND RD STE B1
Second Line	:
City	:	WAKEFIELD
State	:	RI
Zip	:	02879-4323
Country	:	US
Telephone Number	:	401-642-4051
Fax Number	:	401-642-5053

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2016
Last Update Date	:	12/12/2025

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