Provider Demographics
NPI:1508356858
Name:MAZHARUDDIN, ANAM AZIMUDDIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANAM
Middle Name:AZIMUDDIN
Last Name:MAZHARUDDIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANAM
Other - Middle Name:FATIMA
Other - Last Name:AZIMUDDIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2855 GRAMERCY ST STE 400
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1756
Mailing Address - Country:US
Mailing Address - Phone:713-668-6828
Mailing Address - Fax:
Practice Address - Street 1:5211 FM 2920 RD STE 102
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3004
Practice Address - Country:US
Practice Address - Phone:281-444-1677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-12
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT6963207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology