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NPI Code Detail

MEDICARE: ZAID ATIR FADHLI MD

MEDICARE:   ZAID ATIR FADHLI  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
1208800000XUrology PhysicianME69278FL

Other Identifiers

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

General Provider Information

NPI Number : 1346247566
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZAID ATIR FADHLI MD
Provider Business Mailing Address
First Line : 2400 N ORANGE BLOSSOM TRL
Second Line : SUITE 210
City : KISSIMMEE
State : FL
Zip : 34744-2306
Country : US
Telephone Number : 407-933-2500
Fax Number : 407-933-0586
Provider Business Practice Location Address
First Line : 2400 N ORANGE BLOSSOM TRL
Second Line : SUITE 210
City : KISSIMMEE
State : FL
Zip : 34744-2306
Country : US
Telephone Number : 407-933-2500
Fax Number : 407-933-0586
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 02/14/2025

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