Poupak P Ziaei M.D.

NPI 1023010782 - Internal Medicine - 207R00000X

NPI Details
NPI 1023010782
Gender Female
Enumeration Date 08/12/2005
Last Updated 07/16/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
2801 MATHERS RD
SPRINGFIELD IL, 62711-7064, US
Phone (217) 789-3600
Fax (217) 726-5867
Business Location
2801 MATHERS RD
SPRINGFIELD IL, 62711-7064, US
Phone (217) 789-3600
Fax (702) 902-2401
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036-112460
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According to our database, Dr. Poupak P Ziaei M.D. NPI is 1023010782, taxonomy code is 207R00000X and license number is 036-112460, license state is located at Illinois. Poupak P Ziaei M.D. physically located at 2801 Mathers Rd, Springfield IL, 62711-7064. NPI Number Poupak P Ziaei M.D. has the Individual type.

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1023010782 NPI number is provided on an as is basis without warranty of any kind. 1023010782 is maintained by the National Plan & Provider Enumeration System. The contents of Poupak P Ziaei M.D. are for informational purposes only.