Provider Demographics
NPI:1740283241
Name:FARIDI, ZUBAIR HAIDER (MD)
Entity type:Individual
Prefix:
First Name:ZUBAIR
Middle Name:HAIDER
Last Name:FARIDI
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 1:1733 HOWELL RD
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-6638
Mailing Address - Country:US
Mailing Address - Phone:301-797-2525
Mailing Address - Fax:301-797-5519
Practice Address - Street 1:1733 HOWELL RD
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-6638
Practice Address - Country:US
Practice Address - Phone:301-797-2525
Practice Address - Fax:301-797-5519
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0044341207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016857760Medicaid
MD220096OtherMAMSI
MD2411542005OtherCIGNA
WV0200993000Medicaid
MD045991700Medicaid
145744300OtherUS DEPT OF LABOR
MD2500520OtherUNITED HEALTHCARE
MD52822602OtherBS/BS
PA540587OtherBC/BS
DCB3890002OtherBS/BS
MD52822602OtherBS/BS
MD045991700Medicaid
MDS704H530Medicare ID - Type Unspecified