Provider Demographics
NPI:1912531302
Name:ZAIDI, SYED HABIB UR REHMAN (RPH)
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:HABIB UR REHMAN
Last Name:ZAIDI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11007 RAINY CANYON LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1699
Mailing Address - Country:US
Mailing Address - Phone:410-982-8342
Mailing Address - Fax:
Practice Address - Street 1:15119 WALLISVILLE RD STE 100C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77049-4629
Practice Address - Country:US
Practice Address - Phone:832-449-3016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-25
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX560941835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist