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NPI Code Detail

MEDICARE: SHAHAB A ZAIDI PHARM. D.

MEDICARE: SHAHAB A ZAIDI PHARM. 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
1183500000XPharmacist49753TX

General Provider Information

NPI Number : 1083961825
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAHAB A ZAIDI PHARM. D.
Provider Business Mailing Address
First Line : 2500 OLD FARM RD APT 1426
Second Line :
City : HOUSTON
State : TX
Zip : 77063-4439
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2906 HOUSTON HWY
Second Line :
City : VICTORIA
State : TX
Zip : 77901-4681
Country : US
Telephone Number : 361-576-6737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2012
Last Update Date : 08/10/2012

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