Physician Compare National (NPI:1346457660)

HEALTHCARE PROVIDER: SHAHAB ZAIDI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1346457660
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9335328426
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110120001240
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ZAIDI
	Individual professional last name
Provider First Name	SHAHAB
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1060 S MAIN ST
	Group Practice or individual's line 1 address
City	TIPTON
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	460728327
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7656751410
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	151332
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DECATUR COUNTY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	151311
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	INDIANA UNIVERSITY HEALTH TIPTON HOSPITAL INC
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	151329
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MARGARET MARY COMMUNITY HOSPITAL INC
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	150010
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST. JOSEPH HOSPITAL & HEALTH CENTER, INC
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	150007
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	COMMUNITY HOWARD REGIONAL HEALTH INC.
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1346457660)

HEALTHCARE PROVIDER: SHAHAB ZAIDI MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information