Provider Demographics
NPI:1598754616
Name:ZAHDEH, LOUINDA V (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUINDA
Middle Name:V
Last Name:ZAHDEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LOUINDA
Other - Middle Name:M
Other - Last Name:VALDESUSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2879 CRANBROOK RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48306-4711
Mailing Address - Country:US
Mailing Address - Phone:248-425-2881
Mailing Address - Fax:248-805-1003
Practice Address - Street 1:2879 CRANBROOK RIDGE CT
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MI
Practice Address - Zip Code:48306-4711
Practice Address - Country:US
Practice Address - Phone:248-425-2881
Practice Address - Fax:248-805-1003
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-20
Last Update Date:2022-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301053146207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0806360541OtherBCBS MICHIGAN
MI1720152275OtherGROUP SITE NPI
MI208942317OtherUNITED HEALTHCARE
MI23-1886OtherMEDICAR PART A
MIOP46060OtherMEDICARE GROUP
MI1386624278OtherGROUP NPI
MIF01725OtherHEALTH ALLIANCE PLAN
MI0B56065OtherMEDICARE PART B
MIF01725OtherHEALTH NET FEDERAL
MI23-1886OtherMEDICAR PART A
MI0B56065OtherMEDICARE PART B