Provider Demographics
NPI:1285215152
Name:ABU RAJAB ALTAMIMI, ZAID JAWAD M B (MBBS)
Entity Type:Individual
Prefix:DR
First Name:ZAID
Middle Name:JAWAD M B
Last Name:ABU RAJAB ALTAMIMI
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
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Mailing Address - Street 1:1 BAYLOR PLZ STE 405A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3498
Mailing Address - Country:US
Mailing Address - Phone:832-822-3267
Mailing Address - Fax:832-825-3251
Practice Address - Street 1:1 BAYLOR PLZ STE 405A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3498
Practice Address - Country:US
Practice Address - Phone:832-822-3267
Practice Address - Fax:832-825-3251
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-21
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
TX47995207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program