Provider Demographics
NPI:1366809634
Name:ZAID YALDO MD PLLC
Entity type:Organization
Organization Name:ZAID YALDO MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ZAID
Authorized Official - Middle Name:
Authorized Official - Last Name:YALDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-764-5140
Mailing Address - Street 1:3670 OLD CREEK RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-1627
Mailing Address - Country:US
Mailing Address - Phone:248-397-8919
Mailing Address - Fax:248-397-8959
Practice Address - Street 1:3670 OLD CREEK RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-1627
Practice Address - Country:US
Practice Address - Phone:248-397-8919
Practice Address - Fax:248-397-8959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-18
Last Update Date:2016-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301096454207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty