Provider Demographics
NPI:1871858910
Name:AL-FAHAM, ZAID (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ZAID
Middle Name:
Last Name:AL-FAHAM
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1760 CHICAGO AVE STE J3
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-2358
Mailing Address - Country:US
Mailing Address - Phone:951-781-2200
Mailing Address - Fax:
Practice Address - Street 1:1760 CHICAGO AVE STE J3
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-2358
Practice Address - Country:US
Practice Address - Phone:951-781-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-04
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301100525207R00000X
WAMD608185702083X0100X
390200000X
CAA1688152083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program