Provider Demographics
NPI:1649451675
Name:HIRANI, HAMEEDA (DMD)
Entity type:Individual
Prefix:MISS
First Name:HAMEEDA
Middle Name:
Last Name:HIRANI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 NORWICH ST
Mailing Address - Street 2:SUITE #3
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-2421
Mailing Address - Country:US
Mailing Address - Phone:508-755-1119
Mailing Address - Fax:508-755-1172
Practice Address - Street 1:11 NORWICH ST
Practice Address - Street 2:SUITE #3
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-2421
Practice Address - Country:US
Practice Address - Phone:508-755-1119
Practice Address - Fax:508-755-1172
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22029122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1301071OtherGROUP #