Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MAZEN SIRES
Active
Individual
MAZEN SIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60496111205
UT
208M00000X
Hospitalist Physician
Primary
6049611-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000059004
MEDICARE
UT
01
—
P00317619
PALMETTO
UT
Enumeration date
05/09/2006
Last updated
04/19/2023
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