Basic Information
Provider Information
NPI: 1093968729
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAHID
FirstName: SADIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1327 STADIUM DR
Address2:  
City: MACON
State: GA
PostalCode: 312071302
CountryCode: US
TelephoneNumber: 4783012362
FaxNumber: 4783012391
Practice Location
Address1: 777 HEMLOCK ST
Address2:  
City: MACON
State: GA
PostalCode: 312012102
CountryCode: US
TelephoneNumber: 4783015801
FaxNumber: 4783015812
Other Information
ProviderEnumerationDate: 10/26/2008
LastUpdateDate: 06/19/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207R00000X069742GAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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