Healthcare Provider Details

I. General information

NPI: 1740116425
Provider Name (Legal Business Name): ZAIN LADHA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

623 BROADWAY
NEW YORK NY
10012-2606
US

IV. Provider business mailing address

829 WILLOUGHBY AVE APT 2F
BROOKLYN NY
11206-7027
US

V. Phone/Fax

Practice location:
  • Phone: 646-516-9818
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: