Individual provider Active NPI

MD Sarefin Zaman, MBBS, MD

  • General Practice Physician
  • Branson, MO
National Provider Identifier
1760001598
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2019042304 Issued in MO
Practice address
2715 W 76 Country Blvd Ste 103
Branson, MO 65616-2344
Phone
(417) 317-5318
NPI assigned
Apr 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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 2019042304 MO Primary

Addresses

Primary practice location

2715 W 76 Country Blvd Ste 103
Branson, MO 65616-2344

Mailing address

102 Vixen Cir Apt G
Branson, MO 65616-7816
Phone (929) 358-5087

Other practice location 1

1945 Powell Ave
Bronx, NY 10472-5105
Phone (929) 358-5087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2019042304MOMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1760001598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 VIXEN CIR APT G",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167816",
            "telephone_number": "929-358-5087",
            "fax_number": "267-367-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 W 76 COUNTRY BLVD STE 103",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162344",
            "telephone_number": "417-317-5318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 Powell Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104725105",
            "country_code": "US",
            "telephone_number": "929-358-5087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMAN",
        "first_name": "MD SAREFIN",
        "name_prefix": "Dr.",
        "credential": "MBBS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-12",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "2019042304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.