Basic Information
Provider Information
NPI: 1306881008
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NIAZI
FirstName: ZUBAIR
MiddleName: K
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 18916 CELEBRITY LN
Address2:  
City: SANDY SPRING
State: MD
PostalCode: 208601502
CountryCode: US
TelephoneNumber: 4102746534
FaxNumber: 4107930809
Practice Location
Address1: 1500 FOREST GLEN RD STE 120
Address2:  
City: SILVER SPRING
State: MD
PostalCode: 209101460
CountryCode: US
TelephoneNumber: 4102746534
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/17/2006
LastUpdateDate: 08/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/21/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XD0057072MDY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


Home