Provider Demographics
NPI:1942289228
Name:ZAIDI, UZMA (M D)
Entity Type:Individual
Prefix:
First Name:UZMA
Middle Name:
Last Name:ZAIDI
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MANSFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WILLIMANTIC
Mailing Address - State:CT
Mailing Address - Zip Code:06226-2018
Mailing Address - Country:US
Mailing Address - Phone:860-450-7471
Mailing Address - Fax:
Practice Address - Street 1:330 WASHINGTON ST
Practice Address - Street 2:SUITE 510
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2741
Practice Address - Country:US
Practice Address - Phone:860-885-1308
Practice Address - Fax:860-889-1982
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT035748207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008010981Medicaid
CT008010981Medicaid
CTD400140658Medicare PIN