Provider Demographics
NPI:1679739346
Name:SARMAST, SHEHNAZ AYSHA ZAMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEHNAZ AYSHA
Middle Name:ZAMAN
Last Name:SARMAST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5130 POOL RD STE 200
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-4506
Mailing Address - Country:US
Mailing Address - Phone:903-463-2223
Mailing Address - Fax:903-463-2224
Practice Address - Street 1:5130 POOL RD STE 200
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-4506
Practice Address - Country:US
Practice Address - Phone:903-463-2223
Practice Address - Fax:903-463-2224
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP2356207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX326615701Medicaid
TX326615701Medicaid