Provider Demographics
NPI:1225027873
Name:ZAHID, MOHAMMAD (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:
Last Name:ZAHID
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 1:1530 N RANDALL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-7877
Mailing Address - Country:US
Mailing Address - Phone:847-697-6464
Mailing Address - Fax:847-697-6478
Practice Address - Street 1:1530 N RANDALL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-7877
Practice Address - Country:US
Practice Address - Phone:847-697-6464
Practice Address - Fax:847-697-6478
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-070340207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036070340Medicaid
IL909651Medicare ID - Type UnspecifiedLOCALITY 15
ILB36047Medicare UPIN
IL036070340Medicaid
IL909650Medicare ID - Type UnspecifiedLOCALITY 99
ILK12613Medicare ID - Type UnspecifiedLOCALITY 16