=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881166890
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ZAID SUHAIL KATHIM AHMAD AMIN MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/02/2019
-----------------------------------------------------
Last Update Date | 08/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 431 SAVANNAH RD
-----------------------------------------------------
City | LEWES
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19958-1460
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-644-4282
-----------------------------------------------------
Fax | 302-644-8734
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1515 SAVANNAH RD FL 2
-----------------------------------------------------
City | LEWES
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19958-1675
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-645-3499
-----------------------------------------------------
Fax | 302-644-4830
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RC0000X
-----------------------------------------------------
Taxonomy Name | Cardiovascular Disease Physician
-----------------------------------------------------
License Number | C1-0028247
-----------------------------------------------------
License Number State | DE
-----------------------------------------------------