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Individual

PEYMAN PAKZABAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
H8305
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00U34T
MEDICARE GROUP PTAN
TX
05
036295601
TX
01
1320205
UNITED HEALTHCARE ID
TX
01
5613188
AETNA ID
TX
01
6425199
CIGNA PIN
TX
01
8BL550
BCBS ACCOUNT NUMBER AS OF 07/24/2008
TX
01
G17452
UPIN
TX
01
P00621639
RAILROAD MEDICARE PART B
TX
Enumeration date
07/26/2005
Last updated
08/17/2026
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