MEDICARE: AYESHA ZAHIRUDDIN 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
1	207RG0100X	Gastroenterology Physician	271861	NY
2	207RG0100X	Gastroenterology Physician	C167311	CA

General Provider Information

NPI Number	:	1942598396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYESHA ZAHIRUDDIN MD

Provider Business Mailing Address
First Line	:	354 E 91ST ST APT 707
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-0087
Country	:	US
Telephone Number	:	551-208-7334
Fax Number	:

Provider Business Practice Location Address
First Line	:	1411 E 31ST ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94602-1092
Country	:	US
Telephone Number	:	510-437-4800
Fax Number	:

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

Provider Enumeration Date	:	07/19/2011
Last Update Date	:	09/15/2020

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