MEDICARE: DR. MASOUD HAMIDIAN MD

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	207X00000X	Orthopaedic Surgery Physician	MD29131	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MD29131	OTHER	AL	ALABAMA LICENSE NO.

General Provider Information

NPI Number	:	1972710002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MASOUD HAMIDIAN MD

Provider Business Mailing Address
First Line	:	90 FAIRFAX LN
Second Line	:
City	:	RINGGOLD
State	:	GA
Zip	:	30736-1669
Country	:	US
Telephone Number	:	256-574-2663
Fax Number	:	855-823-7569

Provider Business Practice Location Address
First Line	:	4700 BATTLEFIELD PKWY STE 320
Second Line	:
City	:	RINGGOLD
State	:	GA
Zip	:	30736-5169
Country	:	US
Telephone Number	:	706-841-1343
Fax Number	:	706-841-0482

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

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	12/12/2025

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