Provider Demographics
NPI:1740262815
Name:ZAINALABIDIN, ZURAIDA (OD)
Entity type:Individual
Prefix:DR
First Name:ZURAIDA
Middle Name:
Last Name:ZAINALABIDIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7406 N LA CHOLLA BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-2306
Mailing Address - Country:US
Mailing Address - Phone:520-545-0202
Mailing Address - Fax:520-545-0201
Practice Address - Street 1:7406 N LA CHOLLA BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2306
Practice Address - Country:US
Practice Address - Phone:520-545-0202
Practice Address - Fax:520-545-0201
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1406152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ110331OtherMEDICARE GROUP PIN
AZU97403Medicare PIN
AZ110332Medicare PIN
AZZ163460Medicare PIN
AZZ110331OtherMEDICARE GROUP PIN