Provider Demographics
NPI:1366444168
Name:ZARIF, ALAE (MD)
Entity Type:Individual
Prefix:
First Name:ALAE
Middle Name:
Last Name:ZARIF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9956 NORTH MAIN STREET
Mailing Address - Street 2:UNIT 2
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811
Mailing Address - Country:US
Mailing Address - Phone:410-641-9568
Mailing Address - Fax:410-641-1006
Practice Address - Street 1:9956 NORTH MAIN STREET
Practice Address - Street 2:UNIT 2
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811
Practice Address - Country:US
Practice Address - Phone:410-641-9568
Practice Address - Fax:410-641-1006
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-11
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0004741208600000X
MDD663825208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP003739629OtherRAILROAD MEDICARE
DE0000846001Medicaid
DEG00501Medicare PIN
G40765Medicare UPIN
MDP003739629OtherRAILROAD MEDICARE