Provider Demographics
NPI:1598076515
Name:ZAHR, ROULA SHRAIKY (MD)
Entity Type:Individual
Prefix:
First Name:ROULA
Middle Name:SHRAIKY
Last Name:ZAHR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROULA
Other - Middle Name:FAROUK
Other - Last Name:SHRAIKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:SAM JACKSON PARK ROAD SW
Mailing Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE, ENDOCRINOLOGY DIVISION
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239
Mailing Address - Country:US
Mailing Address - Phone:503-494-3273
Mailing Address - Fax:503-418-2208
Practice Address - Street 1:SAM JACKSON PARK ROAD SW
Practice Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE, ENDOCRINOLOGY DIVISION
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239
Practice Address - Country:US
Practice Address - Phone:503-494-3273
Practice Address - Fax:503-418-2208
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-09644207R00000X
IA42698207RE0101X
IAMD-42698207RE0101X
ORMD179712207RE0101X
PAMT197992390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program