Healthcare Provider Details
I. General information
NPI: 1427416437
Provider Name (Legal Business Name): ZAIN MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/04/2016
Last Update Date: 07/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2630 N COLUMBIA CENTER BLVD
RICHLAND WA
99352
US
IV. Provider business mailing address
2630 N COLUMBIA CENTER BLVD
RICHLAND WA
99352
US
V. Phone/Fax
- Phone: 509-420-5053
- Fax: 509-420-5052
- Phone: 509-420-5053
- Fax: 509-420-5052
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 3607914 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
SAMI
ANWAR
Title or Position: CEO
Credential: MBBS. MCPS
Phone: 314-825-1312