Provider Demographics
NPI:1558476663
Name:DAMANIA, ZUBIN RUSTOM (MD)
Entity Type:Individual
Prefix:
First Name:ZUBIN
Middle Name:RUSTOM
Last Name:DAMANIA
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 1:150 LAS VEGAS BLVD N
Mailing Address - Street 2:UNIT 818
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-2919
Mailing Address - Country:US
Mailing Address - Phone:650-799-6313
Mailing Address - Fax:
Practice Address - Street 1:150 LAS VEGAS BLVD N
Practice Address - Street 2:UNIT 818
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-2919
Practice Address - Country:US
Practice Address - Phone:650-799-6313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV14295207R00000X
CAA72951207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine