Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | P5913 | TX |
N | 111NI0900X | Internist | P5913 | TX |
N | 207RC0200X | Critical Care Medicine | 01076397A | IN |
N | 207RC0200X | Critical Care Medicine | MT198671 | PA |
Y | 207RC0200X | Critical Care Medicine | P5913 | TX |
NPI | 1093025629 |
---|---|
Provider Name | Akram M Zaaqoq |
First Address | Houston, TX 77030-2717 |
Second Address | Houston, TX 77030-2717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2010 |
Last Update Date | 02/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
319609903 | (05) | TX |
8FA248 | BLUE CROSS BLUE SHIELD (01) | TX |