Individual
DR. MARYAM ZAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3600 GASTON AVE, SUITE 454, DALLAS, TX 75246-1800
(214) 820-8940
(214) 820-8944
Mailing address
3600 GASTON AVE, SUITE 454, DALLAS, TX 75246-1800
(214) 820-8940
(214) 820-8944
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M0612
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
M0612
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175940901
—
TX
05
—
175940904
—
TX
01
—
8S0451
BCBS
TX
01
—
8W2882
BCBSTX
TX
Enumeration date
12/09/2005
Last updated
10/28/2011
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