Healthcare Provider Details

I. General information

NPI: 1285516997
Provider Name (Legal Business Name): ZAHARA A CHUGHTAI FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1770 SKYLYN DR
SPARTANBURG SC
29307-1045
US

IV. Provider business mailing address

1770 SKYLYN DR
SPARTANBURG SC
29307-1045
US

V. Phone/Fax

Practice location:
  • Phone: 864-577-9107
  • Fax: 864-699-1999
Mailing address:
  • Phone: 864-577-9107
  • Fax: 864-699-1999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number30785
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: