Provider Demographics
NPI:1174239669
Name:ABEDIN, ZAHIDUR R (PHD)
Entity type:Individual
Prefix:DR
First Name:ZAHIDUR
Middle Name:R
Last Name:ABEDIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3070 MCCANN FARM DR STE 112
Mailing Address - Street 2:
Mailing Address - City:GARNET VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19060-2131
Mailing Address - Country:US
Mailing Address - Phone:610-458-1112
Mailing Address - Fax:
Practice Address - Street 1:3070 MCCANN FARM DR STE 112
Practice Address - Street 2:
Practice Address - City:GARNET VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19060-2131
Practice Address - Country:US
Practice Address - Phone:610-458-1112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCQP153590247ZC0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician