Provider Demographics
NPI:1710920715
Name:ZAIDI, WASIQ A (MD)
Entity Type:Individual
Prefix:DR
First Name:WASIQ
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 152555
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-8555
Mailing Address - Country:US
Mailing Address - Phone:817-200-6680
Mailing Address - Fax:
Practice Address - Street 1:5901 S COOPER ST # 131
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-4447
Practice Address - Country:US
Practice Address - Phone:817-200-6680
Practice Address - Fax:817-200-6731
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK215192084P0800X
TXM77832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00682088OtherMEDICARE RAILROAD
TX8AV060OtherBCBS
TX8AV060OtherBCBS
TX8F8476Medicare PIN