Provider Demographics
NPI:1780636944
Name:ZAMAN, ASAD U (MD)
Entity Type:Individual
Prefix:
First Name:ASAD
Middle Name:U
Last Name:ZAMAN
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 1:6700 167TH ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-2859
Mailing Address - Country:US
Mailing Address - Phone:708-429-3700
Mailing Address - Fax:708-429-4460
Practice Address - Street 1:6700 167TH ST
Practice Address - Street 2:SUITE 4
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-2859
Practice Address - Country:US
Practice Address - Phone:708-429-3700
Practice Address - Fax:708-429-4460
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-090371207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01622760OtherBLUE SHIELD NUMBER
ILTAX IDOther36-4295605
IL036090371Medicaid
IL212037Medicare ID - Type UnspecifiedILL GROUP MEDICARE NUMBER
IL036090371Medicaid
ILTAX IDOther36-4295605
IL01622760OtherBLUE SHIELD NUMBER