Basic Information
Provider Information
NPI: 1598977100
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAIDI
FirstName: AMNA
MiddleName: AHMAD
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: P O BOX 1000 DEPT 351
Address2:  
City: MEMPHIS
State: TN
PostalCode: 381480001
CountryCode: US
TelephoneNumber: 9017589900
FaxNumber: 9017522335
Practice Location
Address1: 1300 WESLEY DR
Address2:  
City: MEMPHIS
State: TN
PostalCode: 381166426
CountryCode: US
TelephoneNumber: 9013952618
FaxNumber: 9013853261
Other Information
ProviderEnumerationDate: 05/04/2007
LastUpdateDate: 12/13/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XE6389ARN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X48871TNN Allopathic & Osteopathic PhysiciansHospitalist 
207R00000XMD48871TNY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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