Provider Demographics
NPI:1013131945
Name:ZAMANN, ASAD (MD)
Entity Type:Individual
Prefix:
First Name:ASAD
Middle Name:
Last Name:ZAMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SHEIKH
Other - Middle Name:M
Other - Last Name:ASADUZZAMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3315 COLORADO BLVD
Mailing Address - Street 2:STE 102
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-6885
Mailing Address - Country:US
Mailing Address - Phone:940-320-1708
Mailing Address - Fax:940-565-5457
Practice Address - Street 1:3315 COLORADO BLVD
Practice Address - Street 2:STE 102
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6885
Practice Address - Country:US
Practice Address - Phone:940-320-1708
Practice Address - Fax:940-565-5457
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR6717207RN0300X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1013131945Medicaid
NC182P0OtherBCBSNC
NC182P0OtherBCBSNC