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Individual

DR. WAHAJ M ZAIDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 NAVARRE PL STE 5550, SOUTH BEND, IN 46601-1169
(574) 647-2550
(574) 647-1129
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
01070508A
IN
2080P0206X
Pediatric Gastroenterology Physician
A111674
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201048710
IN
Enumeration date
08/01/2006
Last updated
04/28/2023
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