Healthcare Provider Details

I. General information

NPI: 1851397525
Provider Name (Legal Business Name): ABBAS ZAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 11/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3394 E JOLLY RD STE A
LANSING MI
48910-8595
US

IV. Provider business mailing address

3394 E JOLLY RD STE A
LANSING MI
48910-8595
US

V. Phone/Fax

Practice location:
  • Phone: 517-394-3200
  • Fax: 517-394-4250
Mailing address:
  • Phone: 517-394-3200
  • Fax: 517-394-4250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number4301032305
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: