Basic Information
| Provider Information | |||||||||
| NPI: | 1891998423 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAKIM-ZARGAR | ||||||||
| FirstName: | MARIAM | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 18 TERRACE DR | ||||||||
| Address2: | |||||||||
| City: | AVON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060012314 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8604896363 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 538 LITCHFIELD ST STE 204 | ||||||||
| Address2: | |||||||||
| City: | TORRINGTON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 067906669 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8604896363 | ||||||||
| FaxNumber: | 8889724876 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2007 | ||||||||
| LastUpdateDate: | 04/29/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 044065 | CT | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207XX0004X | 044065 | CT | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Foot and Ankle Surgery |
No ID Information.