Basic Information
Provider Information
NPI: 1932490059
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OUEIDA
FirstName: ZAHER
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MBCHB
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 750 E ADAMS ST
Address2:  
City: SYRACUSE
State: NY
PostalCode: 132102306
CountryCode: US
TelephoneNumber: 3154645910
FaxNumber:  
Practice Location
Address1: 750 E ADAMS ST
Address2:  
City: SYRACUSE
State: NY
PostalCode: 132102306
CountryCode: US
TelephoneNumber: 3154645910
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/23/2011
LastUpdateDate: 01/15/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/15/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X290165NYY Allopathic & Osteopathic PhysiciansHospitalist 
208M00000XMD18765MEN Allopathic & Osteopathic PhysiciansHospitalist 
207R00000XMD18765MEN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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