Provider Demographics
NPI:1245013440
Name:ANNAEV, ZINAT (MD)
Entity type:Individual
Prefix:
First Name:ZINAT
Middle Name:
Last Name:ANNAEV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 S ASHLAND AVE APT 1207
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-4093
Mailing Address - Country:US
Mailing Address - Phone:312-409-3042
Mailing Address - Fax:
Practice Address - Street 1:901 S ASHLAND AVE APT 1207
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-4093
Practice Address - Country:US
Practice Address - Phone:312-409-3042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125083026207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery