MEDICARE: MR. ZIA U UDDIN 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	208000000X	Pediatrics Physician	36839	KY
2	2080N0001X	Neonatal-Perinatal Medicine Physician	D0064455	MD

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	:	1558333815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ZIA U UDDIN MD

Provider Business Mailing Address
First Line	:	251 EAST ANTIETAM STREET
Second Line	:	NEONATOLOGY WASHINGTON COUNTY HOSPITAL
City	:	HAGERSTOWN
State	:	MD
Zip	:	21740-4070
Country	:	US
Telephone Number	:	301-790-8421
Fax Number	:	301-790-9121

Provider Business Practice Location Address
First Line	:	251 EAST ANTIETAM STREET
Second Line	:	SPECIAL CARE NURSERY WASHINGTON COUNTY HOSPITAL
City	:	HAGERSTOWN
State	:	MD
Zip	:	21740-4070
Country	:	US
Telephone Number	:	301-790-8421
Fax Number	:	301-790-9121

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

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	11/05/2008

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