Basic Information
Provider Information
NPI: 1215960869
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALI-KHAN CATTS
FirstName: ZOHRA
MiddleName: J.
NamePrefix: MRS.
NameSuffix:  
Credential: M.S.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4701 OGLETOWN STANTON RD
Address2: SUITE 1212
City: NEWARK
State: DE
PostalCode: 197132055
CountryCode: US
TelephoneNumber: 3026234722
FaxNumber: 3026234511
Practice Location
Address1: 4701 OGLETOWN STANTON RD
Address2: SUITE 1212
City: NEWARK
State: DE
PostalCode: 197132055
CountryCode: US
TelephoneNumber: 3026234722
FaxNumber: 3026234511
Other Information
ProviderEnumerationDate: 07/08/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
170300000X  Y Other Service ProvidersGenetic Counselor, MS 

No ID Information.


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