Healthcare Provider Details

I. General information

NPI: 1811150386
Provider Name (Legal Business Name): NAVID ZAER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2008
Last Update Date: 04/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6431 FANNIN ST 2.130 B
HOUSTON TX
77030-1501
US

IV. Provider business mailing address

8333 BRAESMAIN DR APT. #3205
HOUSTON TX
77025-2940
US

V. Phone/Fax

Practice location:
  • Phone: 703-500-7583
  • Fax:
Mailing address:
  • Phone: 404-933-6248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberN9013
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: