Provider Demographics
NPI:1710063292
Name:SAQIB, ZAHID (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAHID
Middle Name:
Last Name:SAQIB
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 1:402 S PLUM
Mailing Address - Street 2:
Mailing Address - City:CARMI
Mailing Address - State:IL
Mailing Address - Zip Code:62821
Mailing Address - Country:US
Mailing Address - Phone:618-384-2226
Mailing Address - Fax:618-382-5710
Practice Address - Street 1:402 S PLUM
Practice Address - Street 2:
Practice Address - City:CARMI
Practice Address - State:IL
Practice Address - Zip Code:62821
Practice Address - Country:US
Practice Address - Phone:618-384-2226
Practice Address - Fax:618-382-5710
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036 05 8208207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine