Provider Demographics
NPI:1083806681
Name:ZAIDI, SYED SAJJAD (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED SAJJAD
Middle Name:
Last Name:ZAIDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SYED
Other - Middle Name:SAJJAD HUSAIN
Other - Last Name:ZAIDI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:110 S GORDON ST
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-2333
Mailing Address - Country:US
Mailing Address - Phone:281-968-7568
Mailing Address - Fax:281-968-7569
Practice Address - Street 1:110 S GORDON ST
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-2333
Practice Address - Country:US
Practice Address - Phone:281-968-7568
Practice Address - Fax:281-968-7569
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP01562084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX294421701Medicaid
TX294421703 (MDACC)Medicaid
TX294421701Medicaid
TXTXB164941 (MDACC)Medicare PIN