Provider Demographics
NPI:1033546395
Name:ZAYED, AMANI
Entity Type:Individual
Prefix:
First Name:AMANI
Middle Name:
Last Name:ZAYED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11001 CORAL GABLES CT
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78747-1605
Mailing Address - Country:US
Mailing Address - Phone:737-212-3640
Mailing Address - Fax:
Practice Address - Street 1:10641 SHELDON RD
Practice Address - Street 2:
Practice Address - City:WESTCHASE
Practice Address - State:FL
Practice Address - Zip Code:33626-5114
Practice Address - Country:US
Practice Address - Phone:737-212-3640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29284122300000X
FLDN26855122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist