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NPI Code Detail

MEDICARE: ZANNAT EKRAM D.O

MEDICARE: ZANNAT EKRAM D.O
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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician288360MA
2207RP1001XPulmonary Disease Physician288360MA
3207RS0012XSleep Medicine (Internal Medicine) Physician288360MA
4390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1174942825
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZANNAT EKRAM D.O
Provider Business Mailing Address
First Line : 9134 INWOOD DR
Second Line :
City : WOBURN
State : MA
Zip : 01801-5164
Country : US
Telephone Number : 347-863-6578
Fax Number :
Provider Business Practice Location Address
First Line : 81 HIGHLAND AVE
Second Line :
City : SALEM
State : MA
Zip : 01970-2768
Country : US
Telephone Number : 978-741-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2014
Last Update Date : 09/21/2021

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