Provider Demographics
NPI:1417915398
Name:ZUBEIDA, BEGUM (MD)
Entity Type:Individual
Prefix:
First Name:BEGUM
Middle Name:
Last Name:ZUBEIDA
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 1:37662 FORD RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-1924
Mailing Address - Country:US
Mailing Address - Phone:734-326-6300
Mailing Address - Fax:734-326-0884
Practice Address - Street 1:37662 FORD RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-1924
Practice Address - Country:US
Practice Address - Phone:734-326-6300
Practice Address - Fax:734-326-0884
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIBZ040711207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0820198Medicare PIN
MIB47655Medicare UPIN