Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 45747 | WI |
NPI | 1003850645 |
---|---|
Provider Name | Zahid N Dar |
First Address | Oshkosh, WI 54904-7785 |
Second Address | Oshkosh, WI 54904-7668 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 01/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
34400100 | (05) | WI |
H88774 | (02) | WI |