Provider Demographics
NPI:1851397525
Name:ZAND, ABBAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ABBAS
Middle Name:
Last Name:ZAND
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 1:3394 E JOLLY RD
Mailing Address - Street 2:STE A
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-8595
Mailing Address - Country:US
Mailing Address - Phone:517-394-3200
Mailing Address - Fax:517-394-4250
Practice Address - Street 1:3394 E JOLLY RD
Practice Address - Street 2:STE A
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-8595
Practice Address - Country:US
Practice Address - Phone:517-394-3200
Practice Address - Fax:517-394-4250
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301032305174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2003325781OtherBLUE CROSS/BLUE SHIELD
MI3515603Medicaid
MI0332578OtherBLUECARE NETWORK
MI200000001168OtherPHYSICIANS HEALTH PLAN
MI2003325781OtherBLUE CROSS/BLUE SHIELD
MIE40150Medicare UPIN