Provider Demographics
NPI:1487140323
Name:KHARWAR, ZAHRA MANJI (OD)
Entity type:Individual
Prefix:DR
First Name:ZAHRA
Middle Name:MANJI
Last Name:KHARWAR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ZAHRA
Other - Middle Name:ZUHER
Other - Last Name:MANJI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 WEST AVE APT 512
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-4065
Mailing Address - Country:US
Mailing Address - Phone:516-474-8424
Mailing Address - Fax:
Practice Address - Street 1:701 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-3002
Practice Address - Country:US
Practice Address - Phone:914-948-0304
Practice Address - Fax:914-948-0365
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-03
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV008821-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist