Provider Demographics
NPI:1740215300
Name:ZAIDI, SHAQUIB AHMED (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAQUIB
Middle Name:AHMED
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 1:4800 PARK BLVD N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-3534
Mailing Address - Country:US
Mailing Address - Phone:727-522-1061
Mailing Address - Fax:727-528-7916
Practice Address - Street 1:4800 PARK BLVD N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-3534
Practice Address - Country:US
Practice Address - Phone:727-522-1061
Practice Address - Fax:727-528-7916
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD638242085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL278128000Medicaid
FL95054OtherFLORIDA BLUE
FL95054OtherFLORIDA BLUE
MDBZ9694250OtherFEDERAL DEA