Provider Demographics
NPI:1003470055
Name:LADAN HAMD, MD LLC
Entity Type:Organization
Organization Name:LADAN HAMD, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LADAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMDHEYDARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-513-2642
Mailing Address - Street 1:100 PARROTT DR UNIT 1207
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-4793
Mailing Address - Country:US
Mailing Address - Phone:203-513-2642
Mailing Address - Fax:
Practice Address - Street 1:225 MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-3216
Practice Address - Country:US
Practice Address - Phone:203-513-2642
Practice Address - Fax:203-513-2638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty