Healthcare Provider Details

I. General information

NPI: 1427111020
Provider Name (Legal Business Name): FARIBORZ A. ZAER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 09/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 E BROAD ST
SAVANNAH GA
31401-2917
US

IV. Provider business mailing address

106 E BROAD ST
SAVANNAH GA
31401-2917
US

V. Phone/Fax

Practice location:
  • Phone: 912-527-1000
  • Fax:
Mailing address:
  • Phone: 912-527-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number045679
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: