Provider Demographics
NPI:1699716944
Name:ZARKANI, HOJAT OLAH (OD)
Entity type:Individual
Prefix:DR
First Name:HOJAT
Middle Name:OLAH
Last Name:ZARKANI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. ALTOS DE LA FUENTE
Mailing Address - Street 2:STREET#8 K-22
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-7334
Mailing Address - Country:US
Mailing Address - Phone:787-747-8761
Mailing Address - Fax:787-747-8761
Practice Address - Street 1:URB. ALTOS DE LA FUENTE
Practice Address - Street 2:STREET#8 K-22
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-7334
Practice Address - Country:US
Practice Address - Phone:787-501-2288
Practice Address - Fax:787-716-4666
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR511152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR54282ZAOtherTRIPLE-S
PR215968OtherPREFERRED HEALTH
PR7710021OtherHUMANA
PR54282ZAOtherTRIPLE-S
PR6570Medicare UPIN
PR54282Medicare ID - Type UnspecifiedMEDICARE