Provider Demographics
NPI:1750350633
Name:ZAYDAN, MUHAMMAD-ALI AKRAM (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD-ALI
Middle Name:AKRAM
Last Name:ZAYDAN
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 1:644 MAYSVILLE RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-9464
Mailing Address - Country:US
Mailing Address - Phone:859-499-1000
Mailing Address - Fax:859-499-4181
Practice Address - Street 1:644 MAYSVILLE RD
Practice Address - Street 2:SUITE 10
Practice Address - City:MT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-9464
Practice Address - Country:US
Practice Address - Phone:859-499-1000
Practice Address - Fax:859-499-4181
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY37117207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65941130Medicaid
KY64050867Medicaid
KY65941130Medicaid
KY0914101Medicare ID - Type Unspecified