Provider Demographics
NPI:1750339958
Name:YASIN, ZAHIDA (MD)
Entity type:Individual
Prefix:
First Name:ZAHIDA
Middle Name:
Last Name:YASIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2830 VICTORY PKWY
Mailing Address - Street 2:STE 310
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-3700
Mailing Address - Country:US
Mailing Address - Phone:513-245-3444
Mailing Address - Fax:513-245-3449
Practice Address - Street 1:234 GOODMAN ST.
Practice Address - Street 2:BARRETT CENTER
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219
Practice Address - Country:US
Practice Address - Phone:513-584-6928
Practice Address - Fax:513-584-4281
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-071889207R00000X, 207RH0000X
TXM9099207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM9099OtherTEXAS STATE LICENSE
OH2090106Medicaid
IN200195830Medicaid
KY64961253Medicaid