Provider Demographics
NPI:1295979136
Name:ZAIDI, HAMMAD MUHAMMAD ALI (MD)
Entity type:Individual
Prefix:
First Name:HAMMAD
Middle Name:MUHAMMAD ALI
Last Name:ZAIDI
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 1:6102 ABERCOMBIE LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4652
Mailing Address - Country:US
Mailing Address - Phone:281-271-7099
Mailing Address - Fax:
Practice Address - Street 1:17034 UNIVERSITY BLVD STE 900
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:281-271-7099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-22
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK26465207Q00000X
TXP1441207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP1441OtherTEXAS MEDICAL BOARD
TX309325421Medicaid