Provider Demographics
NPI:1528035854
Name:ZARZAR, NICHOLAS S (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:S
Last Name:ZARZAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5711 SIX FORKS RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-3888
Mailing Address - Country:US
Mailing Address - Phone:919-845-1555
Mailing Address - Fax:919-845-1558
Practice Address - Street 1:5711 SIX FORKS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-3888
Practice Address - Country:US
Practice Address - Phone:919-845-1555
Practice Address - Fax:919-845-1558
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-06
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
NC322152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89866OtherBCBS-NC
NCBZ1263184OtherDEA
NCBZ1263184OtherDEA
NCE61350Medicare UPIN