MAHMOOD REZA ZAMANIAN (NPI# 1386641876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386641876 |
| Entity Type | Individual |
| Full Name | MAHMOOD REZA ZAMANIAN |
| Credential | MD |
| Practice Address |
8300 Constitution Ave Ne Albuquerque NM 87110-7613 |
| Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5052912200 |
| Practice Fax Number | 5052912233 |
| Mailing Telephone | 5059236770 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2016-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 98-424 | NM | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
98-424 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | Z5306 | 05 |
| Street Address |
8300 CONSTITUTION AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-7613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123511 | Kate Marcus | Occupational Therapist | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2020-04-23 |
| 1033756887 | Grady Fowler | Physician Assistant | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2019-11-27 |
| 1306498860 | Carly Pecoriello Nowicki | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2019-07-15 |
| 1255806543 | Donna Renee Whalen | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2018-10-12 |
| 1972003119 | Whitney Wyers | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2018-02-14 |
| 1215436050 | Joanne Elaine Greer | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2018-02-07 |
| 1447759659 | Monica Nmi Martinez | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2018-02-03 |
| 1386142792 | Jenny Pilkey | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2018-01-31 |
| 1215443130 | Andrea E Owens | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2017-12-15 |
| 1083151534 | Sarah Knowlton | Dietitian, Registered | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2017-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851862882 | Medic Buddy, LLC | Internal Medicine | 3420 Constitution Ave Ne Ste C, Albuquerque, NM 87106-1238 | 2018-12-17 |
| 1962984518 | Medical Whisperer Janet L Blanchard Md Internal Medicine Consultantllc | Internal Medicine | 717 Encino Pl Ne Ste 17, Albuquerque, NM 87102-2655 | 2018-08-30 |
| 1780189936 | Dania Qaryouti | Internal Medicine | Internal Medicine Msc10 5550 1 University of New Mexic, Albuquerque, NM 87131-0001 | 2018-03-29 |
| 1649782962 | Molina Healthcare of New Mexico | Internal Medicine | 400 Tijeras Ave Nw, Albuquerque, NM 87102-3234 | 2017-10-26 |
| 1679003503 | Aubrey Del Rosario | Internal Medicine | Msc (10-5550) 1 University of New Mexico, Albuquerque, NM 87131 | 2017-06-13 |
| 1487181848 | Lillian Khowong To | Internal Medicine | Msc Ophthalmology 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2017-05-16 |
| 1780037507 | Beulah Jyothy Koduru | Internal Medicine | 1 University of New Mexico Hospital Msc 10 5550, Albuquerque, NM 87131-5640 | 2016-07-16 |
| 1487006813 | Andres Eduardo Mendez-hernandez | Internal Medicine | Msc (internal M) 1 University of New Mexico Albuquerque, Albuquerque, NM 87131-0001 | 2016-07-11 |
| 1902251234 | Sakshi Sahni | Internal Medicine | Msc 10 5550 Gi Department 1 University of New Mexico, Albuquerque, NM 87131-7232 | 2016-04-23 |
| 1184078719 | Sarah Olivia Sharkey | Internal Medicine | Msc Internal Medicine, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-04-20 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.