Healthcare Provider Details

I. General information

NPI: 1114234465
Provider Name (Legal Business Name): ERAM ZAIDI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERAM BASHIR M.D.

II. Dates (important events)

Enumeration Date: 09/08/2010
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3716 BONNYBRIDGE PL
ELLICOTT CITY MD
21043-4115
US

IV. Provider business mailing address

3716 BONNYBRIDGE PL
ELLICOTT CITY MD
21043-4115
US

V. Phone/Fax

Practice location:
  • Phone: 410-336-5638
  • Fax:
Mailing address:
  • Phone: 410-336-5638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0090829
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number99999
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: