Healthcare Provider Details

I. General information

NPI: 1578095550
Provider Name (Legal Business Name): MUHAMMAD WALEED ZEB M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2017
Last Update Date: 05/22/2023
Certification Date: 05/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 W TAYLOR ST
CHICAGO IL
60612-7232
US

IV. Provider business mailing address

HOUSE #33 ARMY HOUSING COLONY, WARSAK ROAD, PESHAWAR CANTT
PESHAWAR KHYBER PAKHTUNKHWA
25000
PK

V. Phone/Fax

Practice location:
  • Phone: 866-600-2273
  • Fax:
Mailing address:
  • Phone: 00923429075763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License Number2023-00719
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: