Provider Demographics
NPI:1306895073
Name:ZAREN, HOWARD A (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:A
Last Name:ZAREN
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 1:836 E. 65TH ST
Mailing Address - Street 2:BLDG 10
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405
Mailing Address - Country:US
Mailing Address - Phone:912-819-6084
Mailing Address - Fax:912-691-9323
Practice Address - Street 1:836 E 65TH ST STE 10
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4492
Practice Address - Country:US
Practice Address - Phone:912-819-5758
Practice Address - Fax:912-691-9297
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA61684208600000X, 2086X0206X
IL0361008332086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA281424871AMedicaid
B35408Medicare UPIN
GA281424871AMedicaid