Healthcare Provider Details

I. General information

NPI: 1306724273
Provider Name (Legal Business Name): ZAINAB AL-DHAHER M.D., A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 PLEASANT VALLEY DR
WALNUT CREEK CA
94597-1837
US

IV. Provider business mailing address

185 PLEASANT VALLEY DR
WALNUT CREEK CA
94597-1837
US

V. Phone/Fax

Practice location:
  • Phone: 312-259-4293
  • Fax:
Mailing address:
  • Phone: 312-259-4293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SAM DADGARI
Title or Position: CHIEF OPERATIONS OFFICER
Credential:
Phone: 801-450-0827