Basic Information
Provider Information
NPI: 1285821207
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAHID
FirstName: ADNAN
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 332 S JUNIPER ST STE 100
Address2:  
City: ESCONDIDO
State: CA
PostalCode: 920254941
CountryCode: US
TelephoneNumber: 7602916621
FaxNumber: 7607373430
Practice Location
Address1: 225 E 2ND AVE
Address2:  
City: ESCONDIDO
State: CA
PostalCode: 920254212
CountryCode: US
TelephoneNumber: 8662282236
FaxNumber: 7607373430
Other Information
ProviderEnumerationDate: 10/03/2007
LastUpdateDate: 10/09/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA104619CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

ID Information
IDTypeStateIssuerDescription
A10461901CAMEDICAL LICENSEOTHER


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