Zamanian, Mahmood Reza
Zamanian, Mahmood Reza is an individual health care provider with primary practice located at 8300 Constitution Ave Ne , Albuquerque NM 87110-7613. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Zamanian, Mahmood Reza can be contacted via phone (505) 291-2200.Contact Information
Primary practice address
8300 Constitution Ave Ne
Albuquerque NM 87110-7613
Phone: (505) 291-2200
Fax: (505) 291-2233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 98-424 | New Mexico |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 98-424 | New Mexico |
Profile Details
| NPI number | 1386641876 |
|---|---|
| LBN Legal business name | Zamanian, Mahmood Reza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Nov 15th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386641876 | NPPES |
| New Mexico | MEDICAID | Z5306 |
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