Provider Demographics
NPI:1194903773
Name:ZAHID B.M. NIAZI M.D., INC.
Entity type:Organization
Organization Name:ZAHID B.M. NIAZI M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZAHID
Authorized Official - Middle Name:BM
Authorized Official - Last Name:NIAZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-525-3966
Mailing Address - Street 1:9401 E STOCKTON BLVD
Mailing Address - Street 2:STE 220
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-5049
Mailing Address - Country:US
Mailing Address - Phone:916-525-3966
Mailing Address - Fax:916-525-3975
Practice Address - Street 1:9401 E STOCKTON BLVD
Practice Address - Street 2:STE 220
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-5049
Practice Address - Country:US
Practice Address - Phone:916-525-3966
Practice Address - Fax:916-525-3975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC51628208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty