Healthcare Provider Details

I. General information

NPI: 1932300290
Provider Name (Legal Business Name): ZAID AL-WAHAB M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ZAID ALWAHAB

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16815 E JEFFERSON AVE STE 240
GROSSE POINTE MI
48230-1923
US

IV. Provider business mailing address

26901 BEAUMONT BLVD STE 3D
SOUTHFIELD MI
48033-3849
US

V. Phone/Fax

Practice location:
  • Phone: 313-473-4690
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VH0002X
TaxonomyHospice and Palliative Medicine (Obstetrics & Gynecology) Physician
License Number4301086657
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4301086657
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number4301086657
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: