MEDICARE: DR. SYED MUHAMMAD MUSTAFA ZAIDI MD

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	207RC0000X	Cardiovascular Disease Physician	MD470297	PA

General Provider Information

NPI Number	:	1083143507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYED MUHAMMAD MUSTAFA ZAIDI MD

Provider Business Mailing Address
First Line	:	3509 N BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-4105
Country	:	US
Telephone Number	:	215-707-2433
Fax Number	:

Provider Business Practice Location Address
First Line	:	3509 N BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-4105
Country	:	US
Telephone Number	:	215-707-8484
Fax Number	:	215-707-3946

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

Provider Enumeration Date	:	06/08/2017
Last Update Date	:	02/02/2026

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