Provider Demographics
NPI:1396867461
Name:ZARROUF, FAHD AZIZ (MD)
Entity Type:Individual
Prefix:
First Name:FAHD
Middle Name:AZIZ
Last Name:ZARROUF
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 1:109 ESSEX DR
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-3318
Mailing Address - Country:US
Mailing Address - Phone:864-512-4935
Mailing Address - Fax:864-512-4932
Practice Address - Street 1:2000 E GREENVILLE ST STE 1000
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1714
Practice Address - Country:US
Practice Address - Phone:864-512-4935
Practice Address - Fax:864-512-4932
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC315512084S0012X, 207R00000X, 207RS0012X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC315518Medicaid
SCGP5392Medicaid
SCGP5392Medicaid