Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 0800285 | KS |
NPI | 1043244940 |
---|---|
Provider Name | Ziauddin Monir |
First Address | Larned, KS 67550-9365 |
Second Address | Larned, KS 67550-9365 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 11/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I52034 | (02) |