Provider Demographics
NPI:1720279912
Name:KAYANI, ZAINAB ZAMIR (DO)
Entity Type:Individual
Prefix:DR
First Name:ZAINAB
Middle Name:ZAMIR
Last Name:KAYANI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 9TH AVENUE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642
Mailing Address - Country:US
Mailing Address - Phone:409-985-6657
Mailing Address - Fax:409-982-7805
Practice Address - Street 1:1750 9TH AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-3600
Practice Address - Country:US
Practice Address - Phone:409-985-6657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4230207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX208836101Medicaid
694370581OtherMYUTMB 694370581
TX8L18205Medicare PIN
TXTXB141398Medicare PIN