Provider Demographics
NPI:1326036377
Name:ZAIDI, SYED MOID (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:MOID
Last Name:ZAIDI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1229 CREEK WAY DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4555
Mailing Address - Country:US
Mailing Address - Phone:281-980-2100
Mailing Address - Fax:281-980-2170
Practice Address - Street 1:1229 CREEKWAY DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3843
Practice Address - Country:US
Practice Address - Phone:281-980-2100
Practice Address - Fax:281-980-2170
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-12
Last Update Date:2012-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL023207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX142114105Medicaid
TX142114105Medicaid
G65442Medicare UPIN