Provider Demographics
NPI:1275301582
Name:UPSTATE HST
Entity Type:Organization
Organization Name:UPSTATE HST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:FAHD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARROUF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-606-9504
Mailing Address - Street 1:1900B N MAIN ST STE 2412
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-3878
Mailing Address - Country:US
Mailing Address - Phone:412-606-9504
Mailing Address - Fax:
Practice Address - Street 1:132 STEEPLECHASE
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:SC
Practice Address - Zip Code:29627-7700
Practice Address - Country:US
Practice Address - Phone:412-606-9504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic