Provider Demographics
NPI:1609452374
Name:ISMAIL, ZAHRA (DO)
Entity Type:Individual
Prefix:
First Name:ZAHRA
Middle Name:
Last Name:ISMAIL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ZAHRA
Other - Middle Name:ISMAIL
Other - Last Name:DOSSAJI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:2575 W HORIZON RIDGE PKWY APT 1614
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-5933
Mailing Address - Country:US
Mailing Address - Phone:310-430-8478
Mailing Address - Fax:
Practice Address - Street 1:1800 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2386
Practice Address - Country:US
Practice Address - Phone:702-671-2341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program