Provider Demographics
NPI:1669479036
Name:ZAIDI, SYED A (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:A
Last Name:ZAIDI
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:PO BOX 631
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:TN
Mailing Address - Zip Code:38063-0631
Mailing Address - Country:US
Mailing Address - Phone:731-221-1637
Mailing Address - Fax:731-221-3028
Practice Address - Street 1:868 HIGHWAY 51 SOUTH
Practice Address - Street 2:SUITE 101
Practice Address - City:RIPLEY
Practice Address - State:TN
Practice Address - Zip Code:38063
Practice Address - Country:US
Practice Address - Phone:731-221-1637
Practice Address - Fax:731-221-3028
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN28221174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNG60122Medicare UPIN
TN3813099Medicare PIN