Provider Demographics
NPI:1508182437
Name:ZAMAN, TAHIR
Entity Type:Individual
Prefix:
First Name:TAHIR
Middle Name:
Last Name:ZAMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3261 FRANKLIN AVE E APT 8
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3858
Mailing Address - Country:US
Mailing Address - Phone:509-528-8377
Mailing Address - Fax:
Practice Address - Street 1:1250 E 3900 S STE 410
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-1364
Practice Address - Country:US
Practice Address - Phone:801-281-5996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-16
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8134518-1205207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology