Provider Demographics
NPI:1376995225
Name:MAHDI, ZAID ALI (MD)
Entity Type:Individual
Prefix:
First Name:ZAID
Middle Name:ALI
Last Name:MAHDI
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 1:508 FOX HILLS DR N
Mailing Address - Street 2:APARTMENT 1
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-1340
Mailing Address - Country:US
Mailing Address - Phone:313-414-3392
Mailing Address - Fax:
Practice Address - Street 1:508 FOX HILLS DR N
Practice Address - Street 2:APARTMENT 1
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-1340
Practice Address - Country:US
Practice Address - Phone:313-414-3392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-04
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301110742207R00000X
MI43015045022085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine