Basic Information
| Provider Information | |||||||||
| NPI: | 1366444168 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZARIF | ||||||||
| FirstName: | ALAE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9956 NORTH MAIN STREET | ||||||||
| Address2: | UNIT 2 | ||||||||
| City: | BERLIN | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21811 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106419568 | ||||||||
| FaxNumber: | 4106411006 | ||||||||
| Practice Location | |||||||||
| Address1: | 9956 NORTH MAIN STREET | ||||||||
| Address2: | UNIT 2 | ||||||||
| City: | BERLIN | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21811 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106419568 | ||||||||
| FaxNumber: | 4106411006 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/11/2005 | ||||||||
| LastUpdateDate: | 09/21/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | C1-0004741 | DE | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | D663825 | MD | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | P003739629 | 01 | MD | RAILROAD MEDICARE | OTHER | 0000846001 | 05 | DE | MEDICAID |