Provider Demographics
NPI:1801931217
Name:MAQBOOL, ZAID (MD)
Entity type:Individual
Prefix:DR
First Name:ZAID
Middle Name:
Last Name:MAQBOOL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ZAID
Other - Middle Name:
Other - Last Name:MAQBOOL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1207 LADERA CT
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-7115
Mailing Address - Country:US
Mailing Address - Phone:530-758-6480
Mailing Address - Fax:
Practice Address - Street 1:1207 LADERA CT
Practice Address - Street 2:1207 LADERA COURT
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-7115
Practice Address - Country:US
Practice Address - Phone:530-758-6480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34245207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA27241Medicare UPIN