Provider Demographics
NPI:1811938988
Name:ZAMAN, BADRUZ RAIHAN (PA)
Entity type:Individual
Prefix:MR
First Name:BADRUZ
Middle Name:RAIHAN
Last Name:ZAMAN
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 FOREST GLEN ROAD
Mailing Address - Street 2:
Mailing Address - City:SILVERSPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910
Mailing Address - Country:US
Mailing Address - Phone:301-754-7500
Mailing Address - Fax:
Practice Address - Street 1:1500 FORRESST GLEN ROAD
Practice Address - Street 2:
Practice Address - City:SILVERSPING
Practice Address - State:MD
Practice Address - Zip Code:20147-5819
Practice Address - Country:US
Practice Address - Phone:301-754-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0002568363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP66339Medicare UPIN
VA006830C77Medicare PIN
DC012440S58Medicare PIN