Provider Demographics
NPI:1528271855
Name:SARDAR ZAMAN MD PC
Entity type:Organization
Organization Name:SARDAR ZAMAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARDAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-770-2049
Mailing Address - Street 1:26541 ANCHORAGE CT
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-2125
Mailing Address - Country:US
Mailing Address - Phone:313-770-2049
Mailing Address - Fax:
Practice Address - Street 1:26541 ANCHORAGE CT
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374-2125
Practice Address - Country:US
Practice Address - Phone:313-770-2049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301083018208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4854952Medicaid
MII 19569Medicare UPIN
MI4854952Medicaid