Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | D0060156 | MD |
NPI | 1194773952 |
---|---|
Provider Name | Dr. Hasan A Zia |
First Address | Washington, DC 20016-2633 |
Second Address | Washington, DC 20016-2633 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 10/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H77649 | (02) |