Provider Demographics
NPI:1396016390
Name:DARBY, MIZGON ZAHIR (MS)
Entity Type:Individual
Prefix:MRS
First Name:MIZGON
Middle Name:ZAHIR
Last Name:DARBY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:MIZGON
Other - Middle Name:
Other - Last Name:ZAHIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:39155 LIBERTY ST
Mailing Address - Street 2:SUITE D-460
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1513
Mailing Address - Country:US
Mailing Address - Phone:510-449-2432
Mailing Address - Fax:
Practice Address - Street 1:39155 LIBERTY ST
Practice Address - Street 2:SUITE D-460
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1513
Practice Address - Country:US
Practice Address - Phone:510-449-2432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker