Provider Demographics
NPI:1346292414
Name:ZAIDI, FARRUKH (MD)
Entity type:Individual
Prefix:MR
First Name:FARRUKH
Middle Name:
Last Name:ZAIDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14690 SPRING HILL DR
Mailing Address - Street 2:STE 305
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-8102
Mailing Address - Country:US
Mailing Address - Phone:352-277-5348
Mailing Address - Fax:352-606-2857
Practice Address - Street 1:8029 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-6648
Practice Address - Country:US
Practice Address - Phone:352-596-4080
Practice Address - Fax:352-596-2904
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0063405207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL18621OtherBCBS
FLP01173870OtherRAILROAD MEDICARE
FL008471000Medicaid
FLP01173870OtherRAILROAD MEDICARE
F52999Medicare UPIN
FL18621RMedicare PIN