Provider Demographics
NPI:1477743144
Name:KASSAM, ZAHRA (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAHRA
Middle Name:
Last Name:KASSAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:969 VARIAN WAY
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-2409
Mailing Address - Country:US
Mailing Address - Phone:650-498-8609
Mailing Address - Fax:
Practice Address - Street 1:969 VARIAN WAY
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-2409
Practice Address - Country:US
Practice Address - Phone:650-498-8609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01063689A2085B0100X
CAA963622085B0100X
MI43010907792085B0100X
IL2085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging