Provider Demographics
NPI:1760184147
Name:BHUTTA, ZARA IBRAHIM (MD)
Entity Type:Individual
Prefix:DR
First Name:ZARA
Middle Name:IBRAHIM
Last Name:BHUTTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8268 164TH ST BLDG 7TH
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-1121
Mailing Address - Country:US
Mailing Address - Phone:718-883-4583
Mailing Address - Fax:718-883-6197
Practice Address - Street 1:82-68 164TH STREET
Practice Address - Street 2:N BUILDING. 7TH FLOOR, ROOM N-705
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432
Practice Address - Country:US
Practice Address - Phone:718-883-4583
Practice Address - Fax:718-883-6197
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program