Look up the most recent NPI and PECOS records

Syed Sami Hyder Zaidi

Family Medicine

Allopathic & Osteopathic Physicians

528 Broad Street Pl, Ste B, Gainesville, GA 30501-4214

PECOS Enrollment

This provider is enrolled in PECOS as SYED SAMI ZAIDI.

Based on the most recent information from CMS, provider Syed Sami Hyder Zaidi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1649470626
Provider Type
Individual
Full Name
Zaidi, Syed Sami Hyder
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/19/2007
Last Updated
8/6/2016

Contact Information

Practice Location

528 Broad Street Pl, Ste B, Gainesville, GA 30501-4214

(770) 287-0290

Unlisted Fax

Mailing Location

PO Box 459, Colbert, GA 30628-0459

(706) 788-3234

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 060489 Georgia
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 036-117906 Illinois

Provider Identifiers

ID	Description	Issuer
ID 036-117906	Description Other	Issuer STATE MEDICAL LICENSE Illinois
ID 060489	Description Other	Issuer STATE OF GEORGIA-COMPOSITE BAORD OF MEDICAL EXAMINERS Georgia

Syed Sami Hyder Zaidi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Alleyne, Shaina

Grifa, Margaret

Jaume, Alfredo J

Clinica Medica Georgia Llc

Erwood, Margaret A

Campagna, Micaela Rose

Freund Maravankin, Shany Alexandra

Rojas, Luis Felipe

Mustafa, Muhareb

Gbogboade, Adeyemi Olumayowa