Provider Demographics
NPI:1134502594
Name:ZAIDI, FAKHAR
Entity Type:Individual
Prefix:
First Name:FAKHAR
Middle Name:
Last Name:ZAIDI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16819 TALISKER DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2108
Mailing Address - Country:US
Mailing Address - Phone:817-881-1901
Mailing Address - Fax:
Practice Address - Street 1:2222 GREENHOUSE RD STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7288
Practice Address - Country:US
Practice Address - Phone:281-206-8070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-02
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301108462207R00000X
OH35.138345207R00000X
TXT4295207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine