Provider Demographics
NPI:1598714552
Name:ZEB, MOHIUDIN A (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHIUDIN
Middle Name:A
Last Name:ZEB
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 1:3900 JOE RAMSEY BLVD E
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75401-7774
Mailing Address - Country:US
Mailing Address - Phone:903-455-5654
Mailing Address - Fax:903-454-3102
Practice Address - Street 1:3900 JOE RAMSEY BLVD E
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-7727
Practice Address - Country:US
Practice Address - Phone:903-455-5654
Practice Address - Fax:903-454-3102
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7030207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1033904OtherAETNA INTERNAL MEDICINE
TX3926OtherPARKLAND HEALTHFIRST
TX10025429OtherAMERIGROUP
TX3328280OtherAETNA SPECIALTY PROVIDER
TX10025429OtherAMERIGROUP
TXB27803Medicare UPIN