Provider Demographics
NPI:1114900602
Name:YOUSEF ZAHRA, DINA MONZER (MD)
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:MONZER
Last Name:YOUSEF ZAHRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DINA
Other - Middle Name:MONZER
Other - Last Name:ABU YOUSEF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:109 STRAWBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096
Mailing Address - Country:US
Mailing Address - Phone:267-304-5390
Mailing Address - Fax:610-429-9048
Practice Address - Street 1:100 E LANCASTER AVE
Practice Address - Street 2:DEPT OF RADIOLOGY
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3450
Practice Address - Country:US
Practice Address - Phone:610-429-0693
Practice Address - Fax:610-429-9048
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA906262085R0202X
PAMT1884062085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
103601Medicare UPIN