Healthcare Provider Details

I. General information

NPI: 1861508285
Provider Name (Legal Business Name): VAHE NAZAR ZARIKIAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6388 SILVER STAR RD SUITE 2D
ORLANDO FL
32818-3235
US

IV. Provider business mailing address

6388 SILVER STAR RD SUITE 2D
ORLANDO FL
32818-3235
US

V. Phone/Fax

Practice location:
  • Phone: 407-295-2515
  • Fax: 407-295-3008
Mailing address:
  • Phone: 407-295-2515
  • Fax: 407-295-3008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number47134
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: