Healthcare Provider Details

I. General information

NPI: 1568780856
Provider Name (Legal Business Name): SUHAIB A. ZANIAL, M.D., INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2010
Last Update Date: 05/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 S BROOKHURST ST 201
ANAHEIM CA
92804-3510
US

IV. Provider business mailing address

PO BOX 5849
BUENA PARK CA
90622-5849
US

V. Phone/Fax

Practice location:
  • Phone: 714-739-5959
  • Fax: 714-739-5974
Mailing address:
  • Phone: 714-739-5959
  • Fax: 714-739-5974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SUHAIB A ZANIAL
Title or Position: PRESIDENT
Credential: MD
Phone: 714-739-5959