1558333815 NPI number — MR. ZIA U UDDIN MD

Table of content: MR. ZIA U UDDIN MD (NPI 1558333815)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558333815 NPI number — MR. ZIA U UDDIN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
UDDIN
Provider First Name:
ZIA
Provider Middle Name:
U
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
UDDIN
Provider Other First Name:
ZIA
Provider Other Middle Name:
U
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1558333815
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/05/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
251 EAST ANTIETAM STREET
Provider Second Line Business Mailing Address:
NEONATOLOGY WASHINGTON COUNTY HOSPITAL
Provider Business Mailing Address City Name:
HAGERSTOWN
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21740-4070
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-790-8421
Provider Business Mailing Address Fax Number:
301-790-9121

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
251 EAST ANTIETAM STREET
Provider Second Line Business Practice Location Address:
SPECIAL CARE NURSERY WASHINGTON COUNTY HOSPITAL
Provider Business Practice Location Address City Name:
HAGERSTOWN
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21740-4070
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-790-8421
Provider Business Practice Location Address Fax Number:
301-790-9121
Provider Enumeration Date:
02/02/2006

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: 208000000X , with the licence number:  36839 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2080N0001X , with the licence number: D0064455 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 6405604700 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com