Provider Demographics
NPI:1639286214
Name:ZARE, MARC M (MD)
Entity Type:Individual
Prefix:MR
First Name:MARC
Middle Name:M
Last Name:ZARE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:SAEED
Other - Middle Name:MAHMOOD
Other - Last Name:ZARE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15965 LOS GATOS BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-3414
Mailing Address - Country:US
Mailing Address - Phone:408-358-1855
Mailing Address - Fax:408-628-0153
Practice Address - Street 1:15965 LOS GATOS BLVD STE 201
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-3414
Practice Address - Country:US
Practice Address - Phone:408-358-1855
Practice Address - Fax:408-628-0153
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA222267208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery