Provider Demographics
NPI:1962940015
Name:ZOHOURIAN, HAJIR (DO)
Entity type:Individual
Prefix:DR
First Name:HAJIR
Middle Name:
Last Name:ZOHOURIAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12265 SW. 123 AVE.
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186
Mailing Address - Country:US
Mailing Address - Phone:305-299-7460
Mailing Address - Fax:
Practice Address - Street 1:200 NE MOTHER JOSEPH PL STE 400
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664-3290
Practice Address - Country:US
Practice Address - Phone:360-514-4444
Practice Address - Fax:360-514-6530
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-09
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP61070443207RC0000X, 207RC0000X
FLUO3924390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program