Basic Information
Provider Information
NPI: 1508025032
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AL-ZUBEIDI
FirstName: HIBA
MiddleName: NASER
NamePrefix: MS.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 850 POPLAR AVE.
Address2: BLDG. 2
City: MEMPHIS
State: TN
PostalCode: 381054607
CountryCode: US
TelephoneNumber: 9012876825
FaxNumber: 9012876804
Practice Location
Address1: 51 N. DUNLAP ST.
Address2: 3RD FLOOR
City: MEMPHIS
State: TN
PostalCode: 381054625
CountryCode: US
TelephoneNumber: 9012877337
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/09/2008
LastUpdateDate: 09/30/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0205X51713TNY Allopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology

No ID Information.


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