Provider Demographics
NPI:1013947316
Name:ZAIDI, SALEEM (MD)
Entity type:Individual
Prefix:
First Name:SALEEM
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 1:6565 FANNIN ST
Mailing Address - Street 2:SUITE B452
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2703
Mailing Address - Country:US
Mailing Address - Phone:713-441-3620
Mailing Address - Fax:
Practice Address - Street 1:800 E DAWSON ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-2036
Practice Address - Country:US
Practice Address - Phone:903-606-5864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5034207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX040015204Medicaid
LA2317601Medicaid
TXP01030990OtherRR MEDICARE
TX1L8655OtherMEDICARE
TX8V3835OtherBLUE CROSS BLUE SHIELD
TXP01254122OtherMEDICARE RR
TX616192200OtherUS DEPT OF LABOR
TX040015210Medicaid
TX040015205,Medicaid
TX040015206Medicaid
TXG80212Medicare UPIN
TX616192200OtherUS DEPT OF LABOR
TX040015206Medicaid