Provider Demographics
NPI:1053513804
Name:ZAMAN, NOUSHEEN HUMAYUN (MD)
Entity type:Individual
Prefix:
First Name:NOUSHEEN
Middle Name:HUMAYUN
Last Name:ZAMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NOUSHEEN
Other - Middle Name:LAILA
Other - Last Name:HUMAYUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5810 IRVING AVE
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-1525
Mailing Address - Country:US
Mailing Address - Phone:919-539-6140
Mailing Address - Fax:
Practice Address - Street 1:5810 IRVING AVE
Practice Address - Street 2:
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-1525
Practice Address - Country:US
Practice Address - Phone:919-539-6140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1167502080N0001X
RILP01171208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine