Provider Demographics
NPI:1982699310
Name:ZABAD, FERAS (MD)
Entity Type:Individual
Prefix:
First Name:FERAS
Middle Name:
Last Name:ZABAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1323 S 27TH ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-6294
Mailing Address - Country:US
Mailing Address - Phone:409-724-0278
Mailing Address - Fax:409-724-1024
Practice Address - Street 1:1323 S 27TH ST
Practice Address - Street 2:SUITE 600
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-6294
Practice Address - Country:US
Practice Address - Phone:409-724-0278
Practice Address - Fax:409-727-1024
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4063207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
4407931OtherAETNA HEALTH PLANS
00D28KMedicare ID - Type Unspecified
D03179Medicare UPIN