Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 27431 | WV |
Y | 207YP0228X | Pediatric Otolaryngology | MD047973 | DC |
NPI | 1174918908 |
---|---|
Provider Name | Habib Zalzal |
First Address | Washington, DC 20010-2916 |
Second Address | Washington, DC 20010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2015 |
Last Update Date | 13/04/2021 |