Basic Information
| Provider Information | |||||||||
| NPI: | 1043454044 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZAMAN | ||||||||
| FirstName: | MOHAMMED | ||||||||
| MiddleName: | SHAMSUZ | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 43 SKOKORAT ST | ||||||||
| Address2: | |||||||||
| City: | SEYMOUR | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064833826 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | |||||||||
| FaxNumber: | 4076020795 | ||||||||
| Practice Location | |||||||||
| Address1: | 43 SKOKORAT ST | ||||||||
| Address2: | |||||||||
| City: | SEYMOUR | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064833826 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2016546397 | ||||||||
| FaxNumber: | 4076020795 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/22/2009 | ||||||||
| LastUpdateDate: | 05/25/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | 281993 | NY | N | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 208100000X | 54937 | CT | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
No ID Information.