Provider Demographics
NPI:1023417425
Name:ZAIDI, SIDRAH (MD)
Entity type:Individual
Prefix:
First Name:SIDRAH
Middle Name:
Last Name:ZAIDI
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:2195 HARRODSBURG RD STE 125
Mailing Address - Street 2:ROOM K302
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3504
Mailing Address - Country:US
Mailing Address - Phone:859-257-4732
Mailing Address - Fax:859-323-6661
Practice Address - Street 1:2195 HARRODSBURG RD.
Practice Address - Street 2:SUITE 125
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-257-4732
Practice Address - Fax:859-323-6661
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2015-08-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KYIP1476207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine