Healthcare Provider Details

I. General information

NPI: 1134817497
Provider Name (Legal Business Name): UMMIA ZAMAN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2023
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4350 BROWNSBORO RD STE 200
LOUISVILLE KY
40207-1681
US

IV. Provider business mailing address

1003 E WALTON AVE APT 215
ALTOONA PA
16602-7050
US

V. Phone/Fax

Practice location:
  • Phone: 185-525-9918
  • Fax: 150-225-4407
Mailing address:
  • Phone: 240-316-8871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number065080
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS045736
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: