Provider Demographics
NPI:1609001130
Name:ZARZOUR, HEKMAT KHODR (MD)
Entity Type:Individual
Prefix:DR
First Name:HEKMAT
Middle Name:KHODR
Last Name:ZARZOUR
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 1:445 HURFFVILLE CROSSKEYS RD
Mailing Address - Street 2:SUITE B16
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-2337
Mailing Address - Country:US
Mailing Address - Phone:856-256-7591
Mailing Address - Fax:
Practice Address - Street 1:445 HURFFVILLE CROSSKEYS RD
Practice Address - Street 2:SUITE B16
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-2337
Practice Address - Country:US
Practice Address - Phone:856-256-7591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAN/A2085N0700X
NJ25MA09852900207T00000X
PAMD457829207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology