MEDICARE: NADIM T ZYADEH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	30881	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A7998438	OTHER	AZ	AETNA
2	AZ0734070	OTHER	AZ	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609877935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADIM T ZYADEH MD

Provider Business Mailing Address
First Line	:	5815 N BLACK CANYON HWY STE 101
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85015-2200
Country	:	US
Telephone Number	:	602-973-6666
Fax Number	:	602-812-3395

Provider Business Practice Location Address
First Line	:	5815 N BLACK CANYON HWY STE 101
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85015-2200
Country	:	US
Telephone Number	:	602-973-6666
Fax Number	:	602-812-3395

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	01/22/2026

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Directions to “ NADIM T ZYADEH MD” Practice Location

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