Provider Demographics
NPI:1396858148
Name:NAZIR, ZAHID (MD)
Entity type:Individual
Prefix:
First Name:ZAHID
Middle Name:
Last Name:NAZIR
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 1:46 3RD ST
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:NY
Mailing Address - Zip Code:12188-2437
Mailing Address - Country:US
Mailing Address - Phone:518-237-0641
Mailing Address - Fax:518-237-0136
Practice Address - Street 1:46 3RD ST
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:NY
Practice Address - Zip Code:12188-2437
Practice Address - Country:US
Practice Address - Phone:518-237-0641
Practice Address - Fax:518-237-0136
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY227997207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY227997-4 WOtherWORKER'S COMP
NY02383140Medicaid
NY02383140Medicaid
NYDD5465Medicare ID - Type Unspecified
NYH82836Medicare UPIN
NYRA2311Medicare PIN