MEDICARE: PARVIN ZAWAHIR M.D.

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
1	207R00000X	Internal Medicine Physician	241261	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	241261	OTHER	NY	STATE LICENSE

General Provider Information

NPI Number	:	1841319464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARVIN ZAWAHIR M.D.

Provider Business Mailing Address
First Line	:	656 72ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-2655
Country	:	US
Telephone Number	:	646-522-9982
Fax Number	:

Provider Business Practice Location Address
First Line	:	41 E 11TH ST
Second Line	:	NINTH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10003-4602
Country	:	US
Telephone Number	:	212-604-8073
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/08/2007

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