Provider Demographics
NPI:1831155928
Name:HAMZA, HAIZAL ZABRINA (MD)
Entity type:Individual
Prefix:
First Name:HAIZAL
Middle Name:ZABRINA
Last Name:HAMZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7907 POWERS BLVD
Mailing Address - Street 2:
Mailing Address - City:CHANHASSEN
Mailing Address - State:MN
Mailing Address - Zip Code:55317-9502
Mailing Address - Country:US
Mailing Address - Phone:952-934-0570
Mailing Address - Fax:952-906-7837
Practice Address - Street 1:7907 POWERS BLVD
Practice Address - Street 2:
Practice Address - City:CHANHASSEN
Practice Address - State:MN
Practice Address - Zip Code:55317-9502
Practice Address - Country:US
Practice Address - Phone:952-934-0570
Practice Address - Fax:952-906-7837
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN46554207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN650987800Medicaid
MN650987800Medicaid