Healthcare Provider Details

I. General information

NPI: 1265095525
Provider Name (Legal Business Name): HANNAH ZAHEDI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2019
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1768 S WASHINGTON ST
MARION AL
36756-3406
US

IV. Provider business mailing address

1015 MEDICAL CENTER PKWY STE 300
SELMA AL
36701-6748
US

V. Phone/Fax

Practice location:
  • Phone: 334-683-9085
  • Fax:
Mailing address:
  • Phone: 334-418-4113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberMD41803
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: