Individual
SAMIR MAZHARUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
711 W BAY AREA BLVD STE 602, WEBSTER, TX 77598-4042
(281) 332-3001
(281) 332-3005
Mailing address
711 W BAY AREA BLVD STE 602, WEBSTER, TX 77598-4042
(281) 332-3001
(281) 332-3005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q0975
TX
207RH0003X
Hematology & Oncology Physician
Primary
Q0975
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343380710
—
TX
05
—
343380711
—
TX
Enumeration date
04/22/2013
Last updated
10/13/2021
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