Healthcare Provider Details

I. General information

NPI: 1073138517
Provider Name (Legal Business Name): ZAID OBAIDA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2020
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 WILBRAHAM ROAD 2ND FLOOR
MANASSAS MA
01109-3161
US

IV. Provider business mailing address

8650 SUDLEY RD STE 303
MANASSAS VA
20110-4416
US

V. Phone/Fax

Practice location:
  • Phone: 413-794-2511
  • Fax: 413-794-8428
Mailing address:
  • Phone: 703-731-8767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1016352
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: