Rezaee, Ziba

Rezaee, Ziba is an sole proprietor health care provider with primary practice located at 1205 Ranch Road 620 S , Lakeway TX 78734-6311. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Rezaee, Ziba can be contacted via phone (512) 263-5100.

Contact Information

Primary practice address
1205 Ranch Road 620 S Lakeway TX 78734-6311
Phone: (512) 263-5100
Fax: (512) 263-5104
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X BP1-0032079 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X N7864 Texas

Profile Details

NPI number 1902066236
LBN Legal business name Rezaee, Ziba
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2008
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902066236 NPPES
Texas MEDICAID 2939571

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