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NPI Code Detail

MEDICARE: YASIN ZADA M.D.

MEDICARE: YASIN ZADA 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
1208M00000XHospitalist Physician49440TN
2207R00000XInternal Medicine Physician49440TN

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 : 1891768222
Entity Type Code : Individual
Provider Name (Legal Business Name) : YASIN ZADA M.D.
Provider Business Mailing Address
First Line : 965 RIDGE LAKE BLVD STE 103
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-9446
Country : US
Telephone Number : 901-227-3255
Fax Number : 901-227-8591
Provider Business Practice Location Address
First Line : 1700 MEDICAL CENTER PKWY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-2245
Country : US
Telephone Number : 615-396-4694
Fax Number : 615-396-6751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 03/17/2018

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