Provider Demographics
NPI:1538518832
Name:ZAIDI, SAMIR (MD,PHD)
Entity type:Individual
Prefix:
First Name:SAMIR
Middle Name:
Last Name:ZAIDI
Suffix:
Gender:M
Credentials:MD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:YALE SCHOOL OF MEDICINE
Mailing Address - Street 2:333 CEDAR ST, WWW205
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520
Mailing Address - Country:US
Mailing Address - Phone:617-643-0596
Mailing Address - Fax:
Practice Address - Street 1:YALE SCHOOL OF MEDICINE
Practice Address - Street 2:333 CEDAR STREET, WWW205
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:203-785-4144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT80492207R00000X, 207RH0003X, 207RX0202X
NY313345207R00000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology