Provider Demographics
NPI:1649470626
Name:ZAIDI, SYED SAMI HYDER (MD)
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:SAMI HYDER
Last Name:ZAIDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 459
Mailing Address - Street 2:
Mailing Address - City:COLBERT
Mailing Address - State:GA
Mailing Address - Zip Code:30628-0459
Mailing Address - Country:US
Mailing Address - Phone:706-788-3234
Mailing Address - Fax:
Practice Address - Street 1:528 BROAD STREET PL
Practice Address - Street 2:STE B
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-4214
Practice Address - Country:US
Practice Address - Phone:770-287-0290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2016-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060489207Q00000X
IL036-117906207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036-117906OtherSTATE MEDICAL LICENSE
GA060489OtherSTATE OF GEORGIA-COMPOSITE BAORD OF MEDICAL EXAMINERS