Provider Demographics
NPI:1962427922
Name:MEMON, NAHID (MD)
Entity type:Individual
Prefix:DR
First Name:NAHID
Middle Name:
Last Name:MEMON
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 1:735 HAMILTON AVE
Mailing Address - Street 2:HAMILTON HOSPITALISTS
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08629
Mailing Address - Country:US
Mailing Address - Phone:609-581-6666
Mailing Address - Fax:609-585-0309
Practice Address - Street 1:735 HAMILTON AVE
Practice Address - Street 2:HAMILTON HOSPITALISTS
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08629
Practice Address - Country:US
Practice Address - Phone:609-581-6666
Practice Address - Fax:609-585-0309
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07742500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I26571Medicare UPIN
NJ089061Medicare ID - Type Unspecified