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Individual

DR. SHAHAB ZAIDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1060 S MAIN ST, SUITE #1, TIPTON, IN 46072-8327
(765) 675-1410
(765) 675-8242
Mailing address
1000 S MAIN ST, TIPTON, IN 46072-9753
(765) 675-8500
(765) 675-8520

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01042743A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200026120
IN
01
CL8428
RAILROAD MEDICARE
IN
Enumeration date
05/17/2007
Last updated
01/04/2013
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