Healthcare Provider Details

I. General information

NPI: 1851633945
Provider Name (Legal Business Name): AMIR ZAHIR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2013
Last Update Date: 07/21/2022
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3995 OLD TOWN RD STE 201
HUNTINGTOWN MD
20639-3041
US

IV. Provider business mailing address

3995 OLD TOWN RD STE 201
HUNTINGTOWN MD
20639-3041
US

V. Phone/Fax

Practice location:
  • Phone: 410-535-0666
  • Fax:
Mailing address:
  • Phone: 410-535-0666
  • Fax: 410-414-2120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number0101266159
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number30032
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number30032
License Number StateWV
# 4
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberD0082822
License Number StateMD
# 5
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberD0082822
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: