Healthcare Provider Details

I. General information

NPI: 1346992609
Provider Name (Legal Business Name): ZOHRA HEALTH ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2022
Last Update Date: 01/18/2022
Certification Date: 01/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1339 N ARTESIAN AVE
CHICAGO IL
60622-7179
US

IV. Provider business mailing address

1339 N ARTESIAN AVE
CHICAGO IL
60622-7179
US

V. Phone/Fax

Practice location:
  • Phone: 206-234-7715
  • Fax:
Mailing address:
  • Phone: 206-234-7715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. MUHAMMAD ASIF NAZIR
Title or Position: CEO
Credential: MBA, RHIA
Phone: 206-234-7715