Healthcare Provider Details

I. General information

NPI: 1740505312
Provider Name (Legal Business Name): DR. TAUHEED ZAMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2010
Last Update Date: 01/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1493 CAMBRIDGE ST DEPARTMENT OF PSYCHIATRY, CAMBRIDGE HOSPITAL
CAMBRIDGE MA
02139-1047
US

IV. Provider business mailing address

4150 CLEMENT STREET #116F SAN FRANCISCO VA MEDICAL CENTER BUILDING 1
SAN FRANCISCO CA
94121
US

V. Phone/Fax

Practice location:
  • Phone: 617-575-5184
  • Fax:
Mailing address:
  • Phone: 415-221-8410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number69266
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: