Healthcare Provider Details

I. General information

NPI: 1336263631
Provider Name (Legal Business Name): FEHMIDA ZAHABI MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 08/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 STONEWOOD DR SUITE 412
PLANO TX
75024-5280
US

IV. Provider business mailing address

PO BOX 251607
PLANO TX
75025-5151
US

V. Phone/Fax

Practice location:
  • Phone: 469-467-2478
  • Fax: 469-467-8146
Mailing address:
  • Phone: 469-467-2478
  • Fax: 469-467-8146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA55371
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberK1736
License Number StateTX

VIII. Authorized Official

Name: FEHMIDA ZAHABI
Title or Position: PRESIDENT PHYSICIAN
Credential: MD
Phone: 469-467-2478