Individual provider · NPI-1

Dr. Unknown Abdul Hameed Zaid, M.B,B.S

Internal Medicine, Critical Care Medicine · Loma Linda, CA

NPI number1679908800

StatusActive

Last updated in NPPESMay 20, 2020

Details

NPI: 1679908800
Entity type: Individual (NPI-1)
Name: Dr. Unknown Abdul Hameed Zaid
Credential: M.B,B.S
Sex: Male
Sole proprietor: No
Enumeration date: Sep 6, 2013
Certification date: May 20, 2020
Last updated: May 20, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RC0200X	Internal Medicine, Critical Care Medicine	MD2019-1058	NM	Yes
207R00000X	Internal Medicine	MD2019-1058	NM
207RP1001X	Internal Medicine, Pulmonary Disease	MD2019-1058	NM
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

11234 Anderson St # Mc1503a
Loma Linda, CA 92354-2804

Phone 909-558-4911 · Fax 909-558-0490

Mailing address

Po Box 26666
Phs Provider Enrollment
Albuquerque, NM 87125-6666

Phone 505-923-6770

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