Basic Information
Provider Information
NPI: 1093025629
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAAQOQ
FirstName: AKRAM
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6550 FANNIN ST
Address2: SUITE 1901
City: HOUSTON
State: TX
PostalCode: 770302717
CountryCode: US
TelephoneNumber: 7134411100
FaxNumber: 7137902643
Practice Location
Address1: 6550 FANNIN ST
Address2: SUITE 1901
City: HOUSTON
State: TX
PostalCode: 770302717
CountryCode: US
TelephoneNumber: 7134411100
FaxNumber: 7137902643
Other Information
ProviderEnumerationDate: 10/17/2010
LastUpdateDate: 09/02/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/02/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XP5913TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0200X01076397AINN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RC0200XMT198671PAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RC0200XP5913TXY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

ID Information
IDTypeStateIssuerDescription
31960990305TX MEDICAID
8FA24801TXBLUE CROSS BLUE SHIELDOTHER


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