| Zeidan Diabetes & Endocrinology Llc | |
|
5250 Far Hills Ave Ste 150 Dayton OH 45429-2389 | |
| (614) 832-2688 | |
| Not Available |
| Full Name | Zeidan Diabetes & Endocrinology Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5250 Far Hills Ave Ste 150, Dayton, Ohio |
| Authorized Official Name and Position | Trisha Lynn Zeidan (OWNER) |
| Authorized Official Contact | 6148322688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zeidan Diabetes & Endocrinology Llc 1614 Gatekeeper Way Centerville OH 45458-3954 Ph: (614) 832-2688 | Zeidan Diabetes & Endocrinology Llc 5250 Far Hills Ave Ste 150 Dayton OH 45429-2389 Ph: (614) 832-2688 |
| NPI Number | 1083410039 |
|---|---|
| Provider Enumeration Date | 02/20/2025 |
| Last Update Date | 02/20/2025 |
| Medicare PECOS PAC ID | 7517489768 |
|---|---|
| Medicare Enrollment ID | O20250318001489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083410039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Trisha Zeidan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679695985 PECOS PAC ID: 6800949140 Enrollment ID: I20090804000063 |
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