Individual provider Active NPI

Sardar Asim Zaman, M.D.,

  • General Practice Physician
  • Dearborn, MI
National Provider Identifier
1629018296
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301083018 Issued in MI
Practice address
6434 Mead St
Dearborn, MI 48126-2042
Phone
(313) 770-2049
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4301083018 MI Primary

Addresses

Primary practice location

6434 Mead St
Dearborn, MI 48126-2042

Mailing address

6434 Mead St
Dearborn, MI 48126-2042
Phone (313) 770-2049

Other identifiers 1

IdentifierTypeStateIssuer
4854952MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20041029000334 MI Practitioner - General PracticePractitioner - Nuclear Medicine 4284696774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301083018MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Eldercare & Rehab PC PastSince Mar 1, 2006 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629018296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6434 MEAD ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262042",
            "telephone_number": "313-770-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6434 MEAD ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262042",
            "telephone_number": "313-770-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMAN",
        "first_name": "SARDAR",
        "middle_name": "ASIM",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301083018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4854952",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.