Provider Demographics
NPI:1073778429
Name:NIA, HAMID M (MD)
Entity Type:Individual
Prefix:DR
First Name:HAMID
Middle Name:M
Last Name:NIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1513
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07653-1513
Mailing Address - Country:US
Mailing Address - Phone:973-919-2806
Mailing Address - Fax:551-996-0774
Practice Address - Street 1:20 PROSPECT AVE STE 615
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1989
Practice Address - Country:US
Practice Address - Phone:201-265-5700
Practice Address - Fax:551-996-0774
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07844400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA07844400OtherMEDICAL LICENSE