Provider Demographics
NPI:1114970969
Name:INFECTIOUS DISEASES AND TRAVEL
Entity Type:Organization
Organization Name:INFECTIOUS DISEASES AND TRAVEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUBASHIR
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZAHID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-491-1328
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64121593Medicaid
IN200887450Medicaid
INDG2451OtherRAILROAD MEDICARE
IN252910Medicare PIN