Provider Demographics
NPI:1053479824
Name:SHAHID ZEB MD PA
Entity type:Organization
Organization Name:SHAHID ZEB MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-671-4800
Mailing Address - Street 1:PO BOX 14369
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32317-4369
Mailing Address - Country:US
Mailing Address - Phone:850-671-4800
Mailing Address - Fax:850-671-4821
Practice Address - Street 1:2888-5 EAST MAHAN DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5465
Practice Address - Country:US
Practice Address - Phone:850-671-4800
Practice Address - Fax:850-671-4821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2007-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
49994OtherBCBS
H14003Medicare UPIN
49994OtherBCBS