Provider Demographics
NPI:1275278822
Name:ZAND, SOHRAB (MB, BCH, BOA)
Entity Type:Individual
Prefix:MR
First Name:SOHRAB
Middle Name:
Last Name:ZAND
Suffix:
Gender:M
Credentials:MB, BCH, BOA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:INTERNAL MEDICINE RESIDENCY CAYUGA MEDICAL CENTER
Mailing Address - Street 2:101 DATES DRIVE
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850
Mailing Address - Country:US
Mailing Address - Phone:416-859-9263
Mailing Address - Fax:
Practice Address - Street 1:101 DATES DRIVE
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850
Practice Address - Country:US
Practice Address - Phone:607-274-4011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-28
Last Update Date:2023-02-13
Deactivation Date:2023-02-08
Deactivation Code:
Reactivation Date:2023-02-13
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program