Provider Demographics
NPI:1215107156
Name:HAMIDI, NACHIDA (MD)
Entity type:Individual
Prefix:
First Name:NACHIDA
Middle Name:
Last Name:HAMIDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 E ARLINGTON BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5021
Mailing Address - Country:US
Mailing Address - Phone:252-227-0080
Mailing Address - Fax:252-364-8874
Practice Address - Street 1:202 E ARLINGTON BLVD STE D
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5021
Practice Address - Country:US
Practice Address - Phone:252-227-0080
Practice Address - Fax:252-364-8874
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-06
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-00249207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine