1396272035 NPI number — DR. RAMY WILLIAM TOWFEK ZAZA M.D.

Table of content: DR. RAMY WILLIAM TOWFEK ZAZA M.D. (NPI 1396272035)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396272035 NPI number — DR. RAMY WILLIAM TOWFEK ZAZA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZAZA
Provider First Name:
RAMY
Provider Middle Name:
WILLIAM TOWFEK
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396272035
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/14/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1500 RED RIVER ST
Provider Second Line Business Mailing Address:
UT AUSTIN DELL MEDICAL SCHOOL NEUROLOGY DSMC
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78701-1918
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-324-7000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1500 RED RIVER ST
Provider Second Line Business Practice Location Address:
UT AUSTIN DELL MEDICAL SCHOOL NEUROLOGY DSMC
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-324-7000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/12/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X , with the licence number:  BP10059574 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084N0400X , with the licence number: DR.0068561 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)