Provider Demographics
NPI:1093742132
Name:ZAIN, HARRY ALLIE (MD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:ALLIE
Last Name:ZAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:230 BOWMAN STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37813
Mailing Address - Country:US
Mailing Address - Phone:423-586-1356
Mailing Address - Fax:423-585-5613
Practice Address - Street 1:230 BOWMAN ST
Practice Address - Street 2:SUITE B
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37813-3871
Practice Address - Country:US
Practice Address - Phone:423-586-1356
Practice Address - Fax:423-585-5613
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2021-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000018431207Q00000X, 207V00000X
TNMD018431174400000X
TN0000018431207QS0010X, 207VG0400X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No174400000XOther Service ProvidersSpecialist
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN62-1754883OtherTAX ID