Provider Demographics
NPI:1336838374
Name:ZAIDI, SYED HASSAN ABBAS
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:HASSAN ABBAS
Last Name:ZAIDI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17200 W PEORIA AVE STE 116
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85388-0006
Mailing Address - Country:US
Mailing Address - Phone:623-738-0312
Mailing Address - Fax:
Practice Address - Street 1:17200 W PEORIA AVE STE 116
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85388-0006
Practice Address - Country:US
Practice Address - Phone:623-738-0312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0345621223G0001X
AZD0124011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice