Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 01059321A | IN |
N | 111NI0900X | Internist | 01059321A | IN |
N | 207SG0201X | Clinical Genetics (M.D.) | 01059321 | IN |
NPI | 1164488748 |
---|---|
Provider Name | Syed-Adeel H Zaidi |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46202-1218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2006 |
Last Update Date | 28/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200514050 | (05) | IN |
I28988 | (02) | IN |
P00905155 | RAILROAD MEDICARE PTAN (01) | IN |