MEDICARE: MR. HUSSEIN A.J. ZABAD 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
1	207R00000X	Internal Medicine Physician	ME71325	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	:	1164415402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HUSSEIN A.J. ZABAD M.D.

Provider Business Mailing Address
First Line	:	800 ZEAGLER DR
Second Line	:	SUITE 430
City	:	PALATKA
State	:	FL
Zip	:	32177-3883
Country	:	US
Telephone Number	:	386-326-0596
Fax Number	:	386-326-0598

Provider Business Practice Location Address
First Line	:	800 ZEAGLER DR
Second Line	:	SUITE 430
City	:	PALATKA
State	:	FL
Zip	:	32177-3867
Country	:	US
Telephone Number	:	386-326-0596
Fax Number	:	386-326-0598

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

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	07/01/2014

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