Provider Demographics
NPI:1477597367
Name:ZAMAN, MOHAMMAD HAMIDUZ (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:HAMIDUZ
Last Name:ZAMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BROOKDALE PLZ
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-3139
Mailing Address - Country:US
Mailing Address - Phone:718-240-5236
Mailing Address - Fax:718-240-6592
Practice Address - Street 1:1 BROOKDALE PLAZA
Practice Address - Street 2:TJH MEDICAL SERVICES PC RM 107 AARON
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212
Practice Address - Country:US
Practice Address - Phone:718-240-5236
Practice Address - Fax:718-240-6592
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY163748207RP1001X, 207RC0200X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00982554Medicaid
A64410Medicare UPIN
NY82D121Medicare ID - Type Unspecified