Provider Demographics
NPI: | 1629097787 |
---|---|
Name: | RAMZAN, UZMA M (MD) |
Entity Type: | Individual |
Prefix: | |
First Name: | UZMA |
Middle Name: | M |
Last Name: | RAMZAN |
Suffix: | |
Gender: | F |
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: | PROVIDER ENROLLMENT 41 MALL ROAD |
Mailing Address - Street 2: | |
Mailing Address - City: | BURLINGTON |
Mailing Address - State: | MA |
Mailing Address - Zip Code: | 01805-0001 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 41 MALL RD |
Practice Address - Street 2: | |
Practice Address - City: | BURLINGTON |
Practice Address - State: | MA |
Practice Address - Zip Code: | 01805-4931 |
Practice Address - Country: | US |
Practice Address - Phone: | 781-744-8000 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-07-19 |
Last Update Date: | 2024-04-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
GA | 052205 | 207R00000X |
WA | MD60025828 | 207R00000X, 207RS0012X |
MA | 018169 | 208M00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | |
No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
No | 207RS0012X | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
GA | H48969 | Medicare UPIN |