Provider Demographics
NPI:1225815707
Name:ZAMAN INTERNATIONAL
Entity Type:Organization
Organization Name:ZAMAN INTERNATIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HEALTH SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORTADA
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN, CPNP
Authorized Official - Phone:313-377-3728
Mailing Address - Street 1:26091 TROWBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:INKSTER
Mailing Address - State:MI
Mailing Address - Zip Code:48141-2465
Mailing Address - Country:US
Mailing Address - Phone:313-551-3994
Mailing Address - Fax:
Practice Address - Street 1:26091 TROWBRIDGE ST
Practice Address - Street 2:
Practice Address - City:INKSTER
Practice Address - State:MI
Practice Address - Zip Code:48141-2465
Practice Address - Country:US
Practice Address - Phone:313-551-3994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty