Provider Demographics
NPI:1417947342
Name:HUQ, ZAHRA A (DMD)
Entity Type:Individual
Prefix:DR
First Name:ZAHRA
Middle Name:A
Last Name:HUQ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5762 JENNINGS STATION RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-3621
Mailing Address - Country:US
Mailing Address - Phone:314-383-0883
Mailing Address - Fax:314-383-5295
Practice Address - Street 1:5762 JENNINGS STATION RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-3621
Practice Address - Country:US
Practice Address - Phone:314-383-0883
Practice Address - Fax:314-383-5295
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0138641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice