=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740980853
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MAAN MEDICAL CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/07/2023
-----------------------------------------------------
Last Update Date | 03/07/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14830 LOS GATOS BLVD STE 300
-----------------------------------------------------
City | LOS GATOS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95032-2053
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 408-656-9404
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 109 BELVUE DR
-----------------------------------------------------
City | LOS GATOS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95032-5114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 408-656-9404
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DR. ZESHAAN NAEEM MAAN
-----------------------------------------------------
Credential | MD, MSC
-----------------------------------------------------
Telephone | 408-656-9404
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208200000X
-----------------------------------------------------
Taxonomy Name | Plastic Surgery Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------