Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | L5961 | TX |
NPI | 1114971538 |
---|---|
Provider Name | Dr. Mohammad Zia-Ullah |
First Address | San Antonio, TX 78229-3561 |
Second Address | San Antonio, TX 78229-3561 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 04/01/2021 |