1740397603 NPI number — FEHMIDA ZAHABI MD

Table of content: FEHMIDA ZAHABI MD (NPI 1740397603)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740397603 NPI number — FEHMIDA ZAHABI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZAHABI
Provider First Name:
FEHMIDA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ZAHABI-UNWALA
Provider Other First Name:
FEHMIDA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1740397603
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/21/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 251607
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLANO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75025-5151
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
469-467-2478
Provider Business Mailing Address Fax Number:
469-467-8146

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6300 STONEWOOD DR
Provider Second Line Business Practice Location Address:
SUITE 412
Provider Business Practice Location Address City Name:
PLANO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75024-5280
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
469-467-2478
Provider Business Practice Location Address Fax Number:
469-467-8146
Provider Enumeration Date:
08/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RR0500X , with the licence number:  K1736 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RR0500X , with the licence number: A55371 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 83MB . This is a "BLUE CROSS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".




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