Healthcare Provider Details

I. General information

NPI: 1659048387
Provider Name (Legal Business Name): NASEEM ZAHID
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2021
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 PORTER ST
DEARBORN MI
48124-2890
US

IV. Provider business mailing address

2868 FORT ST
LINCOLN PARK MI
48146-2424
US

V. Phone/Fax

Practice location:
  • Phone: 313-689-5188
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number7401002836
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: