Provider Demographics
NPI:1689618290
Name:ZAIDI, SYED (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:
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 1:1256 WATERFORD DR STE 120
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-4518
Mailing Address - Country:US
Mailing Address - Phone:630-499-6688
Mailing Address - Fax:630-499-6689
Practice Address - Street 1:1256 WATERFORD DR
Practice Address - Street 2:SUITE 120
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-4511
Practice Address - Country:US
Practice Address - Phone:630-499-6688
Practice Address - Fax:630-499-6689
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036073955207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036073955Medicaid
ILK16996Medicare PIN
ILE30335Medicare UPIN