Provider Demographics
NPI:1972797926
Name:KOTIAN, ZARINE M (MD)
Entity type:Individual
Prefix:
First Name:ZARINE
Middle Name:M
Last Name:KOTIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5750 W THUNDERBIRD RD
Mailing Address - Street 2:STE D400
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306
Mailing Address - Country:US
Mailing Address - Phone:212-300-4800
Mailing Address - Fax:
Practice Address - Street 1:5750 W THUNDERBIRD RD
Practice Address - Street 2:STE D400
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306
Practice Address - Country:US
Practice Address - Phone:602-298-8977
Practice Address - Fax:602-298-1787
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program