Healthcare Provider Details

I. General information

NPI: 1386050615
Provider Name (Legal Business Name): SOBIA NIZAMI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2014
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6537 PRESTON RD
PLANO TX
75024-2610
US

IV. Provider business mailing address

PO BOX 802772
DALLAS TX
75380-2772
US

V. Phone/Fax

Practice location:
  • Phone: 972-867-9131
  • Fax: 972-867-6225
Mailing address:
  • Phone: 972-484-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number291185
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD479443
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: