Provider Demographics
NPI:1194781534
Name:ZARNEGAR, RASA (MD)
Entity type:Individual
Prefix:DR
First Name:RASA
Middle Name:
Last Name:ZARNEGAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 E 68TH ST
Mailing Address - Street 2:F-2024
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:212-746-5130
Mailing Address - Fax:212-746-6899
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:F-2024
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-5130
Practice Address - Fax:212-746-6899
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY245388208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0A9079400Medicaid
CA0A9079400Medicaid
CA0A9079400Medicare PIN