Provider Demographics
NPI:1023039989
Name:ZAFARNIA, MOHAMMADE EBRAHIM (MD)
Entity Type:Individual
Prefix:MR
First Name:MOHAMMADE
Middle Name:EBRAHIM
Last Name:ZAFARNIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8830 LONG POINT RD
Mailing Address - Street 2:SUITE 808
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-3028
Mailing Address - Country:US
Mailing Address - Phone:713-465-5502
Mailing Address - Fax:713-464-3604
Practice Address - Street 1:8830 LONG POINT RD
Practice Address - Street 2:SUITE 808
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-3028
Practice Address - Country:US
Practice Address - Phone:713-465-5502
Practice Address - Fax:713-464-3604
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE9470207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00B38FOtherBCBS
TX097502101Medicaid
TXB27762Medicare UPIN
TX00B38FMedicare PIN