1679570139 NPI number — DR. MOHAMMAD A ZIA M.D.

Table of content: DR. MOHAMMAD A ZIA M.D. (NPI 1679570139)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679570139 NPI number — DR. MOHAMMAD A ZIA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZIA
Provider First Name:
MOHAMMAD
Provider Middle Name:
A
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:
1679570139
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19502 MC KAY DR.
Provider Second Line Business Mailing Address:
STE. 200
Provider Business Mailing Address City Name:
HUMBLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77338-5720
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-540-8779
Provider Business Mailing Address Fax Number:
281-540-8798

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19502 MCKAY DR STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUMBLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77338-5720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-540-8779
Provider Business Practice Location Address Fax Number:
281-540-8798
Provider Enumeration Date:
06/30/2005

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: 207RN0300X , with the licence number:  L0728 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 029889502 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1043953 . This is a "CIGNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 5528939 . This is a "FIRST HEALTH" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 611460423-A . This is a "HUMANA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 7728193 . This is a "AETNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: P00150030 . This is a "PGBA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 8H9168 . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 100146621901 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 31-00319 . This is a "EVERCARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 10025042 . This is a "AMERIGROUP" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 20535 . This is a "MHHNP" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 26237 . This is a "HERITAGE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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