Healthcare Provider Details
I. General information
NPI: 1750339958
Provider Name (Legal Business Name): ZAHIDA YASIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/04/2006
Last Update Date: 11/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
234 GOODMAN ST. BARRETT CENTER
CINCINNATI OH
45219
US
IV. Provider business mailing address
2830 VICTORY PKWY STE 310
CINCINNATI OH
45206-3700
US
V. Phone/Fax
- Phone: 513-584-6928
- Fax: 513-584-4281
- Phone: 513-245-3444
- Fax: 513-245-3449
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 35-071889 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0000X |
| Taxonomy | Hematology (Internal Medicine) Physician |
| License Number | 35-071889 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0000X |
| Taxonomy | Hematology (Internal Medicine) Physician |
| License Number | M9099 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: