Imtiaz Zaman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101048628 Issued in VA

Practice address

805 Rodman Ave
Portsmouth, VA 23707-3119

Phone

(757) 399-1970

Fax

(757) 436-3460

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PMR Virginia Holding, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1083167001
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1013078286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9886",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233210886",
            "telephone_number": "757-436-2620",
            "fax_number": "757-436-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 RODMAN AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073119",
            "telephone_number": "757-399-1970",
            "fax_number": "757-436-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMAN",
        "first_name": "IMTIAZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101048628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005846757",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy L Yu, DDS
• Joon Sung Yun, M.D.
• Kab Y Yun, MD
• Mohammad Yunas, MD
• Keith Zaitoun, MD
• Jesse Zeger, DPT
• Kenneth Keshan Zeleszki, MD
• Diana Zembrzuski
• Zenith Healthcare Systems, Inc.
• Ethan Daniel Zerpa-Blanco, DO, MS

• Internal Medicine Physician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.