Provider Demographics
NPI:1275569493
Name:SAJJAD, ZEENAT SIDDIQUI (MD)
Entity Type:Individual
Prefix:MRS
First Name:ZEENAT
Middle Name:SIDDIQUI
Last Name:SAJJAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 QUINCE ORCHARD BLVD
Mailing Address - Street 2:22
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878
Mailing Address - Country:US
Mailing Address - Phone:301-926-6492
Mailing Address - Fax:
Practice Address - Street 1:845 B QUINCE ORCHARD BLVD
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878
Practice Address - Country:US
Practice Address - Phone:301-977-2440
Practice Address - Fax:301-977-4752
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0045159208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ65387675EMedicaid