MEDICARE: DR. SHAZIA ZIA 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	174400000X	Specialist	ME 91063	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417904392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAZIA ZIA M.D

Provider Business Mailing Address
First Line	:	5824 STATE ROAD 54
Second Line	:	SUITE 102
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-6002
Country	:	US
Telephone Number	:	727-874-7474
Fax Number	:	727-847-1877

Provider Business Practice Location Address
First Line	:	5824 STATE ROAD 54
Second Line	:	SUITE 102
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-6002
Country	:	US
Telephone Number	:	727-874-7474
Fax Number	:	727-847-1877

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

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	06/19/2015

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Directions to “ DR. SHAZIA ZIA M.D” Practice Location

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