Healthcare Provider Details
I. General information
NPI: 1366063703
Provider Name (Legal Business Name): ZOHAIR SHAMS ZAIDI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/27/2020
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2331 FRANKLIN RD SW
ROANOKE VA
24014-1111
US
IV. Provider business mailing address
213 S JEFFERSON ST STE 1006
ROANOKE VA
24011-1713
US
V. Phone/Fax
- Phone: 540-510-6200
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XS0106X |
| Taxonomy | Orthopaedic Hand Surgery Physician |
| License Number | 0101286162 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | 0101286162 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: