Healthcare Provider Details

I. General information

NPI: 1316320633
Provider Name (Legal Business Name): ZAHRA HUDDA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2015
Last Update Date: 08/31/2022
Certification Date: 08/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE, ML 11013
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

3333 BURNET AVE # T12260AB
CINCINNATI OH
45229-3026
US

V. Phone/Fax

Practice location:
  • Phone: 513-517-2253
  • Fax: 513-636-6935
Mailing address:
  • Phone: 513-517-7253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number123223
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number35.145516
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: