Healthcare Provider Details

I. General information

NPI: 1972845287
Provider Name (Legal Business Name): SARWAR ZAHID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2013
Last Update Date: 09/20/2022
Certification Date: 09/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7409 37TH AVE STE 303
JACKSON HEIGHTS NY
11372-6303
US

IV. Provider business mailing address

4325 HUNTER ST PH 2W
LONG ISLAND CITY NY
11101-4775
US

V. Phone/Fax

Practice location:
  • Phone: 866-599-8774
  • Fax:
Mailing address:
  • Phone: 917-498-5468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number036.143632
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number277914
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number277914
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: