Healthcare Provider Details

I. General information

NPI: 1205857869
Provider Name (Legal Business Name): IMRAN ZAHID M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COMMONWEALTH HEALTH CENTER CK 500409
SAIPAN MP
96950-0000
US

IV. Provider business mailing address

787- 10001 AVE NORTHERN MARIANAS ISLANDS
SAIPAN MP
96950
US

V. Phone/Fax

Practice location:
  • Phone: 670-322-4731
  • Fax:
Mailing address:
  • Phone: 670-322-4731
  • Fax: 670-234-8930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number0301
License Number StateMP

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: