Provider Demographics
NPI:1043454044
Name:ZAMAN, MOHAMMED SHAMSUZ (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:SHAMSUZ
Last Name:ZAMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 SKOKORAT ST
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:CT
Mailing Address - Zip Code:06483-3826
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:407-602-0795
Practice Address - Street 1:43 SKOKORAT ST
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:CT
Practice Address - Zip Code:06483-3826
Practice Address - Country:US
Practice Address - Phone:201-654-6397
Practice Address - Fax:407-602-0795
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2019-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY281993208100000X
CT54937208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation