Healthcare Provider Details

I. General information

NPI: 1518119072
Provider Name (Legal Business Name): SHARIQ ADEEL ZAIDI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2008
Last Update Date: 03/19/2022
Certification Date: 03/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 VISTA RD STE 300
PASADENA TX
77504-2139
US

IV. Provider business mailing address

3801 VISTA RD STE 300
PASADENA TX
77504-2139
US

V. Phone/Fax

Practice location:
  • Phone: 713-942-2500
  • Fax: 713-942-2536
Mailing address:
  • Phone: 713-942-2500
  • Fax: 713-942-2536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number4301090398
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberP2935
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberP2935
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: