Healthcare Provider Details

I. General information

NPI: 1811213051
Provider Name (Legal Business Name): ZALEKHA SHAIR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2010
Last Update Date: 11/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 SW 160TH AVE SUITE 250
MIRAMAR FL
33027-6308
US

IV. Provider business mailing address

2601 OCEAN PKWY DEPARTMENT OF SURGERY
BROOKLYN NY
11235-7745
US

V. Phone/Fax

Practice location:
  • Phone: 954-399-4645
  • Fax:
Mailing address:
  • Phone: 718-616-3440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number15756
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number277725-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number277725-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: