Provider Demographics
NPI:1821182346
Name:WAHID, ZIA U (MD)
Entity Type:Individual
Prefix:
First Name:ZIA
Middle Name:U
Last Name:WAHID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 40406
Mailing Address - Street 2:CENTERSTONE ASSOC
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-0406
Mailing Address - Country:US
Mailing Address - Phone:615-463-4174
Mailing Address - Fax:615-460-4189
Practice Address - Street 1:633 THOMPSON LANE
Practice Address - Street 2:CENTERSTONE COMM MENTAL HEALTH CLINIC INC
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204
Practice Address - Country:US
Practice Address - Phone:615-460-4430
Practice Address - Fax:615-460-4432
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD200402084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
F24989Medicare UPIN
TN3066864Medicare ID - Type Unspecified