MEDICARE: ZAHRA PEDIATRICS LLC

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	208000000X	Pediatrics Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932205754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZAHRA PEDIATRICS LLC

Provider Business Mailing Address
First Line	:	419 KING ST
Second Line	:
City	:	EAST STROUDSBURG
State	:	PA
Zip	:	18301-1206
Country	:	US
Telephone Number	:	570-424-8300
Fax Number	:	570-424-8301

Provider Business Practice Location Address
First Line	:	419 KING ST
Second Line	:
City	:	EAST STROUDSBURG
State	:	PA
Zip	:	18301-1206
Country	:	US
Telephone Number	:	570-424-8300
Fax Number	:	570-424-8301

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. RAMLAH MOHYUDDIN VAHANVATY
Credential	:
Telephone Number	:	570-424-8300

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	02/22/2016

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Directions to “ZAHRA PEDIATRICS LLC ” Practice Location

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