Healthcare Provider Details

I. General information

NPI: 1306895073
Provider Name (Legal Business Name): HOWARD A. ZAREN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 11/10/2020
Certification Date: 11/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

836 E 65TH ST STE 10
SAVANNAH GA
31405-4492
US

IV. Provider business mailing address

836 E. 65TH ST BLDG 10
SAVANNAH GA
31405
US

V. Phone/Fax

Practice location:
  • Phone: 912-819-5758
  • Fax: 912-691-9297
Mailing address:
  • Phone: 912-819-6084
  • Fax: 912-691-9323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number61684
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number036100833
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number61684
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: