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1033679287

NPI Code Detail

MEDICARE: DR. ABRAHAM MAAZ MD

MEDICARE: DR. ABRAHAM MAAZ MD

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	2084P0800X	Psychiatry Physician	ME154761	FL
2	2084P0800X	Psychiatry Physician	MD-49503	IA
3	2084P0800X	Psychiatry Physician	A198747	CA

General Provider Information

NPI Number	:	1033679287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABRAHAM MAAZ MD

Provider Business Mailing Address
First Line	:	5249 N PARK PL NE UNIT 2043
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-6210
Country	:	US
Telephone Number	:	319-356-1616
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 FREEDOM LN
Second Line	:
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-5876
Country	:	US
Telephone Number	:	949-900-8600
Fax Number	:

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

Provider Enumeration Date	:	03/23/2019
Last Update Date	:	02/05/2025

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Directions to “ DR. ABRAHAM MAAZ MD” Practice Location

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