Provider Demographics
NPI:1992990386
Name:ZAIDI, NABILA S (MD)
Entity type:Individual
Prefix:
First Name:NABILA
Middle Name:S
Last Name:ZAIDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NABILA
Other - Middle Name:
Other - Last Name:IQRAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4732 W ILLINOIS AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75211-6502
Mailing Address - Country:US
Mailing Address - Phone:214-540-0300
Mailing Address - Fax:
Practice Address - Street 1:855 MONTGOMERY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-2553
Practice Address - Country:US
Practice Address - Phone:817-920-7000
Practice Address - Fax:817-626-8952
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8448207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX193854002Medicaid
TX8EB736OtherBCBS
TX193854001Medicaid
TX8B2217OtherBCBS
TXP00784423OtherRAILROAD MEDICARE
TX8B2217OtherBCBS
TX8EB736OtherBCBS