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NPI Code Detail

MEDICARE: DR. SAHAR REBECCA ZADEH DPM

MEDICARE:  DR. SAHAR REBECCA ZADEH  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2213ES0103XFoot & Ankle Surgery Podiatrist01746MD

General Provider Information

NPI Number : 1215429584
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAHAR REBECCA ZADEH DPM
Provider Business Mailing Address
First Line : 10810 DARNESTOWN RD STE 101
Second Line :
City : GAITHERSBURG
State : MD
Zip : 20878-2604
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10810 DARNESTOWN RD STE 101
Second Line :
City : GAITHERSBURG
State : MD
Zip : 20878-2604
Country : US
Telephone Number : 301-762-3338
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2018
Last Update Date : 08/08/2022

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