Provider Demographics
NPI:1063476208
Name:KALEEM, ZAHID (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAHID
Middle Name:
Last Name:KALEEM
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 1:10854 MIDWEST INDUSTRIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-1611
Mailing Address - Country:US
Mailing Address - Phone:314-368-1540
Mailing Address - Fax:844-485-3427
Practice Address - Street 1:10854 MIDWEST INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-1611
Practice Address - Country:US
Practice Address - Phone:314-736-6709
Practice Address - Fax:844-485-3427
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO112142207ZH0000X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOMA6158002Medicare PIN