Provider Demographics
NPI:1538324553
Name:ZEIDAN, IMAN HENRY (MD)
Entity type:Individual
Prefix:DR
First Name:IMAN
Middle Name:HENRY
Last Name:ZEIDAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1014 SIXTH ST
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-2381
Mailing Address - Country:US
Mailing Address - Phone:231-922-9270
Mailing Address - Fax:231-922-9271
Practice Address - Street 1:1 N ATKINSON DR
Practice Address - Street 2:
Practice Address - City:LUDINGTON
Practice Address - State:MI
Practice Address - Zip Code:49431-1906
Practice Address - Country:US
Practice Address - Phone:231-922-9270
Practice Address - Fax:231-922-9271
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2013-12-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301093215207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine