MEDICARE: DR. MEEYAPILLAI ZAWAHIR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	117999	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0088795	OTHER	NY	GHI

General Provider Information

NPI Number	:	1265508022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEEYAPILLAI ZAWAHIR M.D.

Provider Business Mailing Address
First Line	:	210 42ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11232-2814
Country	:	US
Telephone Number	:	718-680-1233
Fax Number	:	866-211-7857

Provider Business Practice Location Address
First Line	:	210 42ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11232-2814
Country	:	US
Telephone Number	:	718-680-1233
Fax Number	:	866-211-7857

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2006
Last Update Date	:	06/06/2024

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