Provider Demographics
NPI:1598762411
Name:WAHID, NAILA (MD)
Entity Type:Individual
Prefix:
First Name:NAILA
Middle Name:
Last Name:WAHID
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 1:1177 BOSTON PROVIDENCE TPKE
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-5019
Mailing Address - Country:US
Mailing Address - Phone:781-278-5540
Mailing Address - Fax:781-762-7623
Practice Address - Street 1:1177 BOSTON PROVIDENCE TPKE
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-5019
Practice Address - Country:US
Practice Address - Phone:781-278-5540
Practice Address - Fax:781-762-7623
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA151322207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
68964OtherHARVARD/PILGRIM
J17247OtherBS-BLUE CARE ELECT
J17247OtherHMO BLUE/BLUE CHOICE
151322OtherTUFTS BENEFIT ADMINS.
151322OtherTUFTS
3159108OtherMASS HEALTH (DIV OF MED )
9624205OtherHEALTHSOURCE - MA
0402555OtherUNITED HEALTHCARE PPO
9624205OtherCIGNA HELATHCARE
0016054OtherNEIGHBORHOOD HEALTH
151322OtherTUFTS TOTAL HEALTH PLAN
68964OtherHARVARD PILGRIM POS
BIP108OtherFIRST SENIORITY
151322OtherTUFTS COMMONWEALTH PPO
27574OtherCHILDREN'S MED. SECURITY
68964OtherHARVARD PILGRIM PPO
68964OtherHARVARD PILGRIM POS
J17247OtherBS-BLUE CARE ELECT
A21970Medicare ID - Type Unspecified