Provider Demographics
NPI:1801829908
Name:MOHIUDIN A ZEB MD, PA
Entity Type:Organization
Organization Name:MOHIUDIN A ZEB MD, PA
Other - Org Name:GREENVILLE CARDIOLOGY & INTERNAL MEDICINE ASSOC. PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHIUDIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZEB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-455-5654
Mailing Address - Street 1:3900 JOE RAMSEY BLVD E
Mailing Address - Street 2:BLDG #7
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75401-7727
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:BLDG #7
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10025429OtherAMERIGROUP
TX3926OtherPARKLAND HMO
TX89630JOtherMEDICARE INDIVIDUAL PROVIDER #
TX110010108OtherRAILROAD MEDICARE
TX00088KOtherMEDICARE GROUP PROVIDER # P-TAN
TX123092202Medicaid
TX89630JOtherMEDICARE INDIVIDUAL PROVIDER #