Provider Demographics
NPI:1144251315
Name:TAYYIB, ZAHIDA SARWAR (MD)
Entity type:Individual
Prefix:
First Name:ZAHIDA
Middle Name:SARWAR
Last Name:TAYYIB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 HOSPITAL DR STE 3A
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4109
Mailing Address - Country:US
Mailing Address - Phone:650-696-6772
Mailing Address - Fax:650-969-3309
Practice Address - Street 1:2500 HOSPITAL DR STE 3A
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4109
Practice Address - Country:US
Practice Address - Phone:650-969-6772
Practice Address - Fax:650-969-6772
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC506312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABT0726399OtherDEA
CA000506310Medicare PIN
CABT0726399OtherDEA