Provider Demographics
NPI:1316994841
Name:REPRODUCTIVE ENDOCRINE-INFERTILITY CARE, P.A.
Entity type:Organization
Organization Name:REPRODUCTIVE ENDOCRINE-INFERTILITY CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEZAAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZAMAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-246-7665
Mailing Address - Street 1:1206 NE WINDSOR DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-5594
Mailing Address - Country:US
Mailing Address - Phone:816-246-7665
Mailing Address - Fax:816-554-6677
Practice Address - Street 1:1206 NE WINDSOR DR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-5594
Practice Address - Country:US
Practice Address - Phone:816-246-7665
Practice Address - Fax:816-554-6677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR6H60207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOE48159Medicare UPIN