Provider Demographics
NPI:1851603450
Name:ZAIDI, SAMEEN Z (MD)
Entity Type:Individual
Prefix:
First Name:SAMEEN
Middle Name:Z
Last Name:ZAIDI
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2110 FOREST AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1469
Mailing Address - Country:US
Mailing Address - Phone:408-295-3433
Mailing Address - Fax:408-293-4872
Practice Address - Street 1:2110 FOREST AVE
Practice Address - Street 2:SUITE B
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1469
Practice Address - Country:US
Practice Address - Phone:408-295-3433
Practice Address - Fax:408-293-4872
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2021-12-15
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Provider Licenses
StateLicense IDTaxonomies
CAA133989207W00000X
MI4301096473207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA189747Medicare PIN