Provider Demographics
NPI:1174788129
Name:ZAHEDI, SYEDA NISHAAT (MD)
Entity type:Individual
Prefix:
First Name:SYEDA
Middle Name:NISHAAT
Last Name:ZAHEDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 COUNTRYSIDE CT
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-3700
Mailing Address - Country:US
Mailing Address - Phone:847-414-1253
Mailing Address - Fax:
Practice Address - Street 1:4900 N CUMBERLAND AVE
Practice Address - Street 2:
Practice Address - City:NORRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60706-2916
Practice Address - Country:US
Practice Address - Phone:708-456-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036126231207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine