Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 0401416740 | VA |
N | 213EG0000X | General Practice | 0401416740 | VA |
N | 1223G0001X | General Practice | DRPM2037 | FL |
N | 213EG0000X | General Practice | DRPM2037 | FL |
Y | 1223P0221X | Pediatric Dentist | 0401416740 | VA |
NPI | 1063059764 |
---|---|
Provider Name | Zara Zahid |
First Address | Leesburg, VA 20176-6537 |
Second Address | Roanoke, VA 24018-0720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2019 |
Last Update Date | 15/10/2021 |