Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | MD034889 | DC |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD034889 | DC |
NPI | 1184679920 |
---|---|
Provider Name | Zayd Adnan Eldadah |
First Address | Boston, MA 02241-8283 |
Second Address | Washington, DC 20010-2976 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 26/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010087317 | (05) | VA |
035749700 | (05) | DC |
062900601 | (05) | MD |
H29507 | (02) | DC |