Basic Information
Provider Information
NPI: 1134113400
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAMIR
FirstName: SAEED
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 900 N WASHINGTON ST
Address2: P.O. BOX 192
City: DU QUOIN
State: IL
PostalCode: 628321230
CountryCode: US
TelephoneNumber: 6185422146
FaxNumber: 6185424756
Practice Location
Address1: 900 N WASHINGTON ST
Address2:  
City: DU QUOIN
State: IL
PostalCode: 628321230
CountryCode: US
TelephoneNumber: 6185422146
FaxNumber: 6185424756
Other Information
ProviderEnumerationDate: 09/01/2005
LastUpdateDate: 07/09/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0100X ILY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


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