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NPI Code Detail

MEDICARE: ROXANNE ZUBIN MISTRY MD

MEDICARE: ROXANNE ZUBIN MISTRY MD
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
1208000000XPediatrics PhysicianA93759CA

General Provider Information

NPI Number : 1215990692
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROXANNE ZUBIN MISTRY MD
Provider Business Mailing Address
First Line : 3006 S MARYLAND PKWY
Second Line : 505
City : LAS VEGAS
State : NV
Zip : 89109-2218
Country : US
Telephone Number : 702-697-0082
Fax Number : 702-369-5827
Provider Business Practice Location Address
First Line : 18321 CLARK ST
Second Line :
City : TARZANA
State : CA
Zip : 91356-3501
Country : US
Telephone Number : 702-697-0082
Fax Number : 702-369-5827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2006
Last Update Date : 03/09/2009

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Directions to “ ROXANNE ZUBIN MISTRY MD” Practice Location

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