Basic Information
Provider Information
NPI: 1902882301
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAHEER
FirstName: AARON
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ZAHEER
OtherFirstName: HAROON
OtherMiddleName: A
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 5
Mailing Information
Address1: 4305 UNIVERSITY AVE
Address2: STE 150
City: SAN DIEGO
State: CA
PostalCode: 921051601
CountryCode: US
TelephoneNumber: 6195630507
FaxNumber: 6195630015
Practice Location
Address1: 4305 UNIVERSITY AVE
Address2: STE 150
City: SAN DIEGO
State: CA
PostalCode: 921051601
CountryCode: US
TelephoneNumber: 6195630507
FaxNumber: 6195630015
Other Information
ProviderEnumerationDate: 12/16/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XA61238CAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


Home