1801829908 NPI number — MOHIUDIN A ZEB MD, PA

Table of content: (NPI 1801829908)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801829908 NPI number — MOHIUDIN A ZEB MD, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MOHIUDIN A ZEB MD, PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
GREENVILLE CARDIOLOGY & INTERNAL MEDICINE ASSOC. PA
Provider Other Organization Name Type Code:
3
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:
1801829908
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/10/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3900 JOE RAMSEY BLVD E
Provider Second Line Business Mailing Address:
BLDG #7
Provider Business Mailing Address City Name:
GREENVILLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75401-7727
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
903-455-5654
Provider Business Mailing Address Fax Number:
903-454-3102

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3900 JOE RAMSEY BLVD E
Provider Second Line Business Practice Location Address:
BLDG #7
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75401-7727
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-455-5654
Provider Business Practice Location Address Fax Number:
903-454-3102
Provider Enumeration Date:
07/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ZEB
Authorized Official First Name:
MOHIUDIN
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
903-455-5654

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207UN0901X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 10025429 . This is a "AMERIGROUP" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 3926 . This is a "PARKLAND HMO" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 89630J . This is a "MEDICARE INDIVIDUAL PROVIDER #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 110010108 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 00088K . This is a "MEDICARE GROUP PROVIDER # P-TAN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 123092202 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com