Provider Demographics
NPI:1467019448
Name:AMP ENDOCRINOLOGY
Entity Type:Organization
Organization Name:AMP ENDOCRINOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHKAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ZAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-784-9223
Mailing Address - Street 1:PO BOX 300267
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77230-0267
Mailing Address - Country:US
Mailing Address - Phone:281-784-9223
Mailing Address - Fax:281-715-1802
Practice Address - Street 1:4126 SOUTHWEST FWY STE 1210
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7344
Practice Address - Country:US
Practice Address - Phone:281-784-9223
Practice Address - Fax:281-715-1802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-24
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty