Provider Demographics
NPI:1982011813
Name:KASSAM, ZAIN (MD, MPH, FRCPC)
Entity Type:Individual
Prefix:DR
First Name:ZAIN
Middle Name:
Last Name:KASSAM
Suffix:
Gender:M
Credentials:MD, MPH, FRCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 BOSTON AVE
Mailing Address - Street 2:SUITE #1000
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-4236
Mailing Address - Country:US
Mailing Address - Phone:857-333-7375
Mailing Address - Fax:
Practice Address - Street 1:196 BOSTON AVE
Practice Address - Street 2:SUITE #1000
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-4236
Practice Address - Country:US
Practice Address - Phone:857-333-7375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ88452207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology