Provider Demographics
NPI:1437311636
Name:ZOHAIR, MARYUM (MBBS)
Entity Type:Individual
Prefix:
First Name:MARYUM
Middle Name:
Last Name:ZOHAIR
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18220 STATE HIGHWAY 249
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4347
Mailing Address - Country:US
Mailing Address - Phone:281-737-0570
Mailing Address - Fax:281-807-6024
Practice Address - Street 1:18220 STATE HIGHWAY 249
Practice Address - Street 2:SUITE 400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4347
Practice Address - Country:US
Practice Address - Phone:281-737-0570
Practice Address - Fax:281-807-6024
Is Sole Proprietor?:No
Enumeration Date:2008-06-28
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35098088207R00000X
TXP7233207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX332526801Medicaid
TX8FT397OtherBLUE CROSS BLUE SHIELD
OH0057884Medicaid
TX8EB261OtherBLUE CROSS BLUE SHIELD
OH0057884Medicaid
TX329268YMVQMedicare PIN
TX329268ZSWDMedicare PIN