Provider Demographics
NPI:1508964065
Name:ZABIH, ISMAIL MUHAMMAD (MD)
Entity Type:Individual
Prefix:DR
First Name:ISMAIL
Middle Name:MUHAMMAD
Last Name:ZABIH
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 1:11111 PANAMA CITY BEACH PKWY
Mailing Address - Street 2:SUITE 106
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32407-2448
Mailing Address - Country:US
Mailing Address - Phone:850-234-5151
Mailing Address - Fax:850-234-3303
Practice Address - Street 1:12007 PANAMA CITY BEACH PKWY
Practice Address - Street 2:
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32407-2607
Practice Address - Country:US
Practice Address - Phone:850-234-5151
Practice Address - Fax:850-234-3303
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85390207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL264698600Medicaid
H72245Medicare UPIN