Provider Demographics
NPI:1558383380
Name:ZAMAN, NAIYAR U (MD MHA)
Entity Type:Individual
Prefix:
First Name:NAIYAR
Middle Name:U
Last Name:ZAMAN
Suffix:
Gender:M
Credentials:MD MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 CHADBOURNE RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534-9656
Mailing Address - Country:US
Mailing Address - Phone:707-366-3600
Mailing Address - Fax:
Practice Address - Street 1:520 CHADBOURNE RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-9656
Practice Address - Country:US
Practice Address - Phone:707-366-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA896822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
RA9811Medicare ID - Type Unspecified
I50111Medicare UPIN