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NPI Code Detail

MEDICARE: WENDY WALDMAN ZADEH MD

MEDICARE: WENDY WALDMAN ZADEH 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
12084N0400XNeurology Physician34557IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194703074
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY WALDMAN ZADEH MD
Provider Business Mailing Address
First Line : 1801 HICKMAN RD
Second Line :
City : DES MOINES
State : IA
Zip : 50314-1548
Country : US
Telephone Number : 515-282-2200
Fax Number : 515-282-3234
Provider Business Practice Location Address
First Line : 1801 HICKMAN RD
Second Line :
City : DES MOINES
State : IA
Zip : 50314-1548
Country : US
Telephone Number : 515-282-2200
Fax Number : 515-282-3234
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2006
Last Update Date : 04/04/2016

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Directions to “ WENDY WALDMAN ZADEH MD” Practice Location

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