Basic Information
| Provider Information | |||||||||
| NPI: | 1720079312 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZAMAN | ||||||||
| FirstName: | MOHAMMAD | ||||||||
| MiddleName: | YASAR | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1105 CENTRAL EXPY N STE 235 | ||||||||
| Address2: | |||||||||
| City: | ALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750136135 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9727476042 | ||||||||
| FaxNumber: | 9727476043 | ||||||||
| Practice Location | |||||||||
| Address1: | 1105 CENTRAL EXPY N STE 235 | ||||||||
| Address2: | |||||||||
| City: | ALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750136135 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9727476042 | ||||||||
| FaxNumber: | 9727476043 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/02/2005 | ||||||||
| LastUpdateDate: | 07/30/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | M5989 | TX | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | 20030365 | NM | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | M5989 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 178751001 | 05 | AR | MEDICAID | P00830985 | 01 | TX | RAILROAD MEDICARE | OTHER | 200267700A | 05 | OK | MEDICAID | 191922704 | 05 | TX | MEDICAID | 8AN229 | 01 | TX | BCBS OF TEXAS | OTHER |