Provider Demographics
NPI:1922660034
Name:DAHLVANI, ZEHRA S
Entity type:Individual
Prefix:DR
First Name:ZEHRA
Middle Name:S
Last Name:DAHLVANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10131 SHADYVIEW LN N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55311-5713
Mailing Address - Country:US
Mailing Address - Phone:804-933-8843
Mailing Address - Fax:800-395-8971
Practice Address - Street 1:10131 SHADYVIEW LN N
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55311-5713
Practice Address - Country:US
Practice Address - Phone:804-933-8843
Practice Address - Fax:800-395-8971
Is Sole Proprietor?:No
Enumeration Date:2019-06-28
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE34807207Q00000X
FL4681207Q00000X
VA0101275733207Q00000X
CA199277207Q00000X
MN72873207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine