Provider Demographics
NPI:1134670334
Name:ALSARDARY, ZAYD
Entity Type:Individual
Prefix:MR
First Name:ZAYD
Middle Name:
Last Name:ALSARDARY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 LONGSHORE AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-1738
Mailing Address - Country:US
Mailing Address - Phone:215-749-2950
Mailing Address - Fax:
Practice Address - Street 1:1615 LONGSHORE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-1738
Practice Address - Country:US
Practice Address - Phone:215-749-2950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-23
Last Update Date:2016-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant