MEDICARE: MR. MOHAMMADE EBRAHIM ZAFARNIA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	E9470	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00B38F	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023039989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MOHAMMADE EBRAHIM ZAFARNIA M.D.

Provider Business Mailing Address
First Line	:	8830 LONG POINT RD
Second Line	:	SUITE 808
City	:	HOUSTON
State	:	TX
Zip	:	77055-3028
Country	:	US
Telephone Number	:	713-465-5502
Fax Number	:	713-464-3604

Provider Business Practice Location Address
First Line	:	8830 LONG POINT RD
Second Line	:	SUITE 808
City	:	HOUSTON
State	:	TX
Zip	:	77055-3028
Country	:	US
Telephone Number	:	713-465-5502
Fax Number	:	713-464-3604

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	04/01/2008

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