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NPI Code Detail

MEDICARE: DR. ASIM R ZAIDI M.D.

MEDICARE: DR. ASIM R ZAIDI M.D.
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
1207RC0000XCardiovascular Disease Physician036127965IL
2207RI0011XInterventional Cardiology Physician036127965IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2036127965OTHERILSTATE LICENSE

General Provider Information

NPI Number : 1063641181
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASIM R ZAIDI M.D.
Provider Business Mailing Address
First Line : 4309 W MEDICAL CENTER DR STE A200
Second Line :
City : MCHENRY
State : IL
Zip : 60050-8437
Country : US
Telephone Number : 815-759-8070
Fax Number : 815-759-4931
Provider Business Practice Location Address
First Line : 4309 W MEDICAL CENTER DR STE A200
Second Line :
City : MCHENRY
State : IL
Zip : 60050-8437
Country : US
Telephone Number : 815-759-8070
Fax Number : 815-759-4931
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2009
Last Update Date : 03/01/2022

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