Provider Demographics
NPI:1265895023
Name:ZIEMAN, AZMINA (MD)
Entity type:Individual
Prefix:DR
First Name:AZMINA
Middle Name:
Last Name:ZIEMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AZMINA
Other - Middle Name:
Other - Last Name:ALIBHAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 421
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-0421
Mailing Address - Country:US
Mailing Address - Phone:866-747-2455
Mailing Address - Fax:
Practice Address - Street 1:9631 N NEVADA ST STE 300
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1193
Practice Address - Country:US
Practice Address - Phone:509-465-3919
Practice Address - Fax:509-468-0705
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS6782207R00000X
WAMD61327098207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX431346201Medicaid
TX8QN206OtherBCBS
TX431346202OtherMEDICAID-CSHCN