Provider Demographics
NPI:1477646198
Name:MAWJI, ZUBINA S (MD)
Entity Type:Individual
Prefix:
First Name:ZUBINA
Middle Name:S
Last Name:MAWJI
Suffix:
Gender:F
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:PO BOX 601643
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-1643
Mailing Address - Country:US
Mailing Address - Phone:704-302-8100
Mailing Address - Fax:704-302-8101
Practice Address - Street 1:15110 JOHN J DELANEY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-3544
Practice Address - Country:US
Practice Address - Phone:704-302-8100
Practice Address - Fax:704-302-8101
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2005-01443207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5905090Medicaid
SCN43005Medicaid
NC1477646198Medicaid
SCN43005Medicaid
NCH14150Medicare UPIN
NC5905090Medicaid
NC2051390BMedicare PIN