Provider Demographics
NPI:1487978755
Name:KHATUN, ZIAUNNISSA S FARIHA (SA-C)
Entity type:Individual
Prefix:MRS
First Name:ZIAUNNISSA
Middle Name:S FARIHA
Last Name:KHATUN
Suffix:
Gender:F
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:610 LAWRENCE ST
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-6483
Mailing Address - Country:US
Mailing Address - Phone:281-351-5730
Mailing Address - Fax:281-351-5739
Practice Address - Street 1:2500 FONDREN RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2308
Practice Address - Country:US
Practice Address - Phone:713-490-2527
Practice Address - Fax:713-334-5547
Is Sole Proprietor?:No
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant