Individual
ZISHAN A SAMIUDDIN
Active
Individual
ZISHAN A SAMIUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J2298
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1220675-02
BLUE CROSS/BLUE SHIELD
TX
05
—
1220675-02
—
TX
01
—
189310160775
HUMANA
TX
01
—
209743000
MAGELLAN
TX
01
—
245910
VALUE OPTIONS
TX
01
—
5038645
AETNA
—
Enumeration date
11/25/2005
Last updated
10/12/2016
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