MEDICARE: MOHAMAD A. ZEINEDDIN 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	207RC0000X	Cardiovascular Disease Physician	H5103	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P01037423	OTHER	TX	RAILROAD MEDICARE

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	8CU901	OTHER	TX	BCBS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	8ET557	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1912982885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMAD A. ZEINEDDIN M.D.

Provider Business Mailing Address
First Line	:	1400 N IH 35
Second Line	:	SUITE 300
City	:	AUSTIN
State	:	TX
Zip	:	78701-1926
Country	:	US
Telephone Number	:	512-324-8300
Fax Number	:	512-324-8301

Provider Business Practice Location Address
First Line	:	7900 FM 1826
Second Line	:	SUITE 170
City	:	AUSTIN
State	:	TX
Zip	:	78737-1407
Country	:	US
Telephone Number	:	512-324-9250
Fax Number	:	512-324-9251

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

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	12/22/2014

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Directions to “ MOHAMAD A. ZEINEDDIN M.D.” Practice Location

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