Healthcare Provider Details

I. General information

NPI: 1932121894
Provider Name (Legal Business Name): MAHMOOD A ZAIED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 01/09/2023
Certification Date: 01/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 ADAMS AVE
MONTGOMERY AL
36104-4424
US

IV. Provider business mailing address

PO BOX 70365
MONTGOMERY AL
36107-0365
US

V. Phone/Fax

Practice location:
  • Phone: 334-263-2301
  • Fax: 334-263-2301
Mailing address:
  • Phone: 334-263-2301
  • Fax: 334-263-0881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number00022486
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: