MEDICARE: AMANI ZAYED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	29284	TX
2	122300000X	Dentist	DN26855	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033546395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANI ZAYED

Provider Business Mailing Address
First Line	:	11001 CORAL GABLES CT
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78747-1605
Country	:	US
Telephone Number	:	737-212-3640
Fax Number	:

Provider Business Practice Location Address
First Line	:	10641 SHELDON RD
Second Line	:
City	:	WESTCHASE
State	:	FL
Zip	:	33626-5114
Country	:	US
Telephone Number	:	737-212-3640
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2013
Last Update Date	:	08/17/2022

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Directions to “ AMANI ZAYED ” Practice Location

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