Provider Demographics
NPI:1285639435
Name:AMIN, ZAHID (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAHID
Middle Name:
Last Name:AMIN
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 1:2501 N ORANGE AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4641
Mailing Address - Country:US
Mailing Address - Phone:407-303-2001
Mailing Address - Fax:407-303-2450
Practice Address - Street 1:2501 N ORANGE AVE STE 209
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4641
Practice Address - Country:US
Practice Address - Phone:407-303-2001
Practice Address - Fax:407-303-2450
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-0927512080P0202X
GA045697207RI0011X
FLME1441012080P0202X
NE213592080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003133687AMedicaid
NE47064448313Medicaid
SD6702130Medicaid
GA202I375781Medicare PIN
GA003133687AMedicaid
SD6702130Medicaid
SD6702130Medicaid