Provider Demographics
NPI:1396788501
Name:ZARIF, ABDULMASIH Z (MD)
Entity type:Individual
Prefix:
First Name:ABDULMASIH
Middle Name:Z
Last Name:ZARIF
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 1:1389 WEST MAIN STREET
Mailing Address - Street 2:TOWER 2 SUITE 321
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708
Mailing Address - Country:US
Mailing Address - Phone:203-757-1113
Mailing Address - Fax:203-575-9018
Practice Address - Street 1:1389 W MAIN ST
Practice Address - Street 2:TOWER 2 SUITE 321
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708
Practice Address - Country:US
Practice Address - Phone:203-757-1113
Practice Address - Fax:203-575-9018
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT033316208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
033316OtherCONNECTICARE
1036739OtherAETNA
1740439OtherUNITED HEALTHCARE
262905461OtherCIGNA
P824575OtherOXFORD
CT010033316CT04OtherBCBS
3V0458OtherHEALTHNET
CT001333161Medicaid
135922OtherWELLCARE
CTD400001003Medicare PIN
3V0458OtherHEALTHNET