Provider Demographics
NPI:1033110622
Name:ZAHID, MUBASHIR A (MD)
Entity Type:Individual
Prefix:
First Name:MUBASHIR
Middle Name:A
Last Name:ZAHID
Suffix:
Gender:M
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:PO BOX 3276
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47731-3276
Mailing Address - Country:US
Mailing Address - Phone:812-450-8600
Mailing Address - Fax:812-450-8151
Practice Address - Street 1:520 MARY ST STE 230
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-1678
Practice Address - Country:US
Practice Address - Phone:812-450-8600
Practice Address - Fax:812-450-8151
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01058551A207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64121593Medicaid
IN200825150AMedicaid
IN000000483894OtherBCBS PIN
IN200825150AMedicaid
IN237140Medicare PIN
IN252910AMedicare PIN
INP00331587Medicare PIN