Provider Demographics
NPI:1801070958
Name:ZAYDAN, MUHAMMED M
Entity type:Individual
Prefix:MR
First Name:MUHAMMED
Middle Name:M
Last Name:ZAYDAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:MUHAMMED
Other - Middle Name:M
Other - Last Name:ZAYDAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OPA-C
Mailing Address - Street 1:3343 WILTON CREST CT
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-2355
Mailing Address - Country:US
Mailing Address - Phone:703-350-9170
Mailing Address - Fax:
Practice Address - Street 1:3343 WILTON CREST CT
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-2355
Practice Address - Country:US
Practice Address - Phone:703-350-9170
Practice Address - Fax:703-370-7133
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA964246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant