Provider Demographics
NPI:1679194120
Name:BHATTI, ZAMARAQ MANZOOR (MD)
Entity Type:Individual
Prefix:
First Name:ZAMARAQ
Middle Name:MANZOOR
Last Name:BHATTI
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 1:82-68 164TH STREET
Mailing Address - Street 2:QUEENS HOSPITAL CENTER
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432
Mailing Address - Country:US
Mailing Address - Phone:718-883-3000
Mailing Address - Fax:718-883-6124
Practice Address - Street 1:1638 OWEN DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3424
Practice Address - Country:US
Practice Address - Phone:910-615-6949
Practice Address - Fax:910-615-9761
Is Sole Proprietor?:No
Enumeration Date:2020-05-06
Last Update Date:2023-10-31
Deactivation Date:2022-02-10
Deactivation Code:
Reactivation Date:2022-03-30
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC2023-00981208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program