Basic Information
| Provider Information | |||||||||
| NPI: | 1679647200 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZAID | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | RAJA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 39555 W 10 MILE RD STE 302 | ||||||||
| Address2: | |||||||||
| City: | NOVI | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483752950 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2484267200 | ||||||||
| FaxNumber: | 2484267335 | ||||||||
| Practice Location | |||||||||
| Address1: | 39555 W 10 MILE RD STE 302 | ||||||||
| Address2: | |||||||||
| City: | NOVI | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483752950 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2484267200 | ||||||||
| FaxNumber: | 2484267335 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/17/2006 | ||||||||
| LastUpdateDate: | 01/11/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 5101016340 | MI | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.