Provider Demographics
NPI:1376199034
Name:ZAYED, ABDALNASSER H M (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDALNASSER
Middle Name:H M
Last Name:ZAYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 23229
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42304-3229
Mailing Address - Country:US
Mailing Address - Phone:270-688-1330
Mailing Address - Fax:270-688-1330
Practice Address - Street 1:2025 W EVERLY BROTHERS BLVD STE 1A
Practice Address - Street 2:
Practice Address - City:POWDERLY
Practice Address - State:KY
Practice Address - Zip Code:42367-5401
Practice Address - Country:US
Practice Address - Phone:270-377-2600
Practice Address - Fax:270-377-2610
Is Sole Proprietor?:No
Enumeration Date:2019-08-16
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125073462207XS0114X
KY54421207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery