Provider Demographics
NPI:1780848937
Name:ZAVERI, MAULIK SUBHASH (MD)
Entity Type:Individual
Prefix:
First Name:MAULIK
Middle Name:SUBHASH
Last Name:ZAVERI
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 1:2067 W VISTA WAY STE 120
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-6032
Mailing Address - Country:US
Mailing Address - Phone:760-758-2020
Mailing Address - Fax:
Practice Address - Street 1:2067 W VISTA WAY STE 120
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-6032
Practice Address - Country:US
Practice Address - Phone:760-758-2020
Practice Address - Fax:760-758-1410
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA67456207W00000X
CAA127841207WX0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology