MEDICARE: MOHAMMED SHAMSUZ ZAMAN 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	208100000X	Physical Medicine & Rehabilitation Physician	281993	NY
2	208100000X	Physical Medicine & Rehabilitation Physician	54937	CT

General Provider Information

NPI Number	:	1043454044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMED SHAMSUZ ZAMAN M.D.

Provider Business Mailing Address
First Line	:	43 SKOKORAT ST
Second Line	:
City	:	SEYMOUR
State	:	CT
Zip	:	06483-3826
Country	:	US
Telephone Number	:
Fax Number	:	407-602-0795

Provider Business Practice Location Address
First Line	:	43 SKOKORAT ST
Second Line	:
City	:	SEYMOUR
State	:	CT
Zip	:	06483-3826
Country	:	US
Telephone Number	:	201-654-6397
Fax Number	:	407-602-0795

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

Provider Enumeration Date	:	04/22/2009
Last Update Date	:	05/25/2019

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