Provider Demographics
NPI:1265720817
Name:INFECTIOUS DISEASE MEDICINE, INC
Entity type:Organization
Organization Name:INFECTIOUS DISEASE MEDICINE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MUBASHIR
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZAHID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-764-2482
Mailing Address - Street 1:PO BOX 3307
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37024-3307
Mailing Address - Country:US
Mailing Address - Phone:256-764-2482
Mailing Address - Fax:256-764-2982
Practice Address - Street 1:541 W COLLEGE ST
Practice Address - Street 2:SUITE 3200
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-5323
Practice Address - Country:US
Practice Address - Phone:256-764-2482
Practice Address - Fax:256-764-2982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL31060207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty