Provider Demographics
NPI:1114916764
Name:ZAHID, MUSSARAT (MD)
Entity type:Individual
Prefix:MRS
First Name:MUSSARAT
Middle Name:
Last Name:ZAHID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 N RANDALL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-7877
Mailing Address - Country:US
Mailing Address - Phone:847-697-6464
Mailing Address - Fax:847-697-6478
Practice Address - Street 1:1530 N RANDALL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-7877
Practice Address - Country:US
Practice Address - Phone:847-697-6464
Practice Address - Fax:847-697-6478
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILE42129Medicare UPIN
IL627350Medicare ID - Type UnspecifiedLOCALITY 15