Provider Demographics
NPI:1699739722
Name:MIGEED, MEDHAT (MD)
Entity type:Individual
Prefix:DR
First Name:MEDHAT
Middle Name:
Last Name:MIGEED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 HERMON ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478
Mailing Address - Country:US
Mailing Address - Phone:781-762-7764
Mailing Address - Fax:
Practice Address - Street 1:45 CLAPBOARDTREE ST
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090
Practice Address - Country:US
Practice Address - Phone:781-762-7764
Practice Address - Fax:781-551-9210
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1542152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3168433Medicaid
MAJ17953OtherBLUE CROSS BLUE SHIELD
MA154215OtherTUFTS
MAJ17953OtherBLUE CROSS BLUE SHIELD
MAA22647Medicare ID - Type Unspecified