Provider Demographics
NPI:1366063703
Name:ZAIDI, ZOHAIR SHAMS (MD)
Entity type:Individual
Prefix:
First Name:ZOHAIR
Middle Name:SHAMS
Last Name:ZAIDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:130 MASON FARM ROAD
Mailing Address - Street 2:3159C BIOINFORMATICS BUILDING
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:25799
Mailing Address - Country:US
Mailing Address - Phone:919-966-9071
Mailing Address - Fax:919-966-7956
Practice Address - Street 1:130 MASON FARM ROAD
Practice Address - Street 2:3159C BIOINFORMATICS BUILDING
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:25799
Practice Address - Country:US
Practice Address - Phone:919-966-9071
Practice Address - Fax:919-966-7956
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-27
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC261381390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program