NEDA MOFRAD M.D. NPI 1396192902

NPI Information

  • NPI: 1396192902
  • Provider Name: NEDA MOFRAD, M.D.
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 50 PARK ROW W APT 320
    PROVIDENCE, RI
    ZIP 02903
  • Phone: (213) 706-4036

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NPI Details

Neda Mofrad, M.D. is a neurology psychiatry neurology in Providence, RI with 10 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Neda Mofrad, M.D. NPI is 1396192902. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2016

The provider's business location address is:

50 PARK ROW W APT 320
PROVIDENCE, RI
ZIP 02903-146
Phone: (213) 706-4036

The NPI 1396192902 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2016 and was last updated on 6/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0600XPsychiatry & NeurologyClinical NeurophysiologyA157605CALIFORNIANo
22084N0400XPsychiatry & NeurologyNeurologyA157605CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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