Healthcare Provider Details

I. General information

NPI: 1295091767
Provider Name (Legal Business Name): SAMAD ZAHEERUDDIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2012
Last Update Date: 08/03/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23929 MCBEAN PKWY STE 216
VALENCIA CA
91355-4468
US

IV. Provider business mailing address

23929 MCBEAN PKWY STE 216
VALENCIA CA
91355-4468
US

V. Phone/Fax

Practice location:
  • Phone: 661-259-1534
  • Fax:
Mailing address:
  • Phone: 661-259-1534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number0101261312
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberC198489
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: