Provider Demographics
NPI:1437291671
Name:ZAMAN, AREF (MD)
Entity Type:Individual
Prefix:
First Name:AREF
Middle Name:
Last Name:ZAMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 SAINT JOSEPH AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64505-2631
Mailing Address - Country:US
Mailing Address - Phone:816-233-3338
Mailing Address - Fax:816-233-4777
Practice Address - Street 1:1515 SAINT JOSEPH AVE
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64505-2631
Practice Address - Country:US
Practice Address - Phone:816-233-3338
Practice Address - Fax:816-233-4777
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009000572207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200596890AMedicaid
MO1437291671Medicaid
F29A00011Medicare Oscar/Certification