Healthcare Provider Details

I. General information

NPI: 1841721149
Provider Name (Legal Business Name): TAREK ZGHAIB M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2017
Last Update Date: 08/29/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1237 HARDING PL
CHARLOTTE NC
28204
US

IV. Provider business mailing address

1800 ORLEANS ST
BALTIMORE MD
21287-0010
US

V. Phone/Fax

Practice location:
  • Phone: 704-355-8816
  • Fax:
Mailing address:
  • Phone: 410-955-7911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number2025-00206
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: