Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 278761 | NY |
N | 207L00000X | Anesthesiologist | 35.095525 | OH |
NPI | 1013176411 |
---|---|
Provider Name | Syeda Zahra Batool Gardezi |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, NY 44195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2008 |
Last Update Date | 07/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
278761 | NY MEDICAL LICENSE (01) | NY |
35.095525 | OHIO MEDICAL LICENSE (01) | OH |
FG1929340 | DEA (01) |