Individual ProviderNada HayatiStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1 Kneeland St, Tufts University School Of Dental Medicine, Boston, MA 02111-1527(617) 636-6531PECOS EnrollmentBased on the most recent information from CMS, provider Nada Hayati does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1033662390Provider TypeIndividualFull NameHayati, NadaCredentialBCHDGenderFemaleSole ProprietorNoEnumeration Date8/3/2016Last Updated8/3/2016Contact InformationPractice LocationPractice Address1 Kneeland St, Tufts University School Of Dental Medicine, Boston, MA 02111-1527Phone(617) 636-6531FaxUnlisted FaxMailing LocationMailing Address660 Washington St Apt 5c, Boston, MA 02111-3210PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense12818062016