Provider Demographics
NPI:1972832004
Name:MOHAMMAD ZAIM NAWAZ MD PA
Entity Type:Organization
Organization Name:MOHAMMAD ZAIM NAWAZ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:ZAIM
Authorized Official - Last Name:NAWAZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-556-1464
Mailing Address - Street 1:PO BOX 2606
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0049
Mailing Address - Country:US
Mailing Address - Phone:214-295-6559
Mailing Address - Fax:214-432-2434
Practice Address - Street 1:5899 PRESTON RD STE 1004
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9593
Practice Address - Country:US
Practice Address - Phone:214-295-6559
Practice Address - Fax:214-432-2434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-20
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
8CH233OtherBCBS
TXDQ3299OtherMCARE RR
TXDQ3299OtherMCARE RR
TX8F24267Medicare PIN