Healthcare Provider Details

I. General information

NPI: 1760123020
Provider Name (Legal Business Name): ZAIN NATHANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2022
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR COLUMBIA
COLUMBIA MO
65212-6077
US

IV. Provider business mailing address

1190 CINNAMON HILL LN APT 305
COLUMBIA MO
65201-8180
US

V. Phone/Fax

Practice location:
  • Phone: 573-882-4141
  • Fax:
Mailing address:
  • Phone: 732-372-3042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: