Provider Demographics
NPI:1790765162
Name:ZOHA, ZUBAIR (MD)
Entity Type:Individual
Prefix:
First Name:ZUBAIR
Middle Name:
Last Name:ZOHA
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 1:1 WEBSTER AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1365
Mailing Address - Country:US
Mailing Address - Phone:845-483-5804
Mailing Address - Fax:845-483-5807
Practice Address - Street 1:1 WEBSTER AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1361
Practice Address - Country:US
Practice Address - Phone:845-483-5804
Practice Address - Fax:845-483-5807
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY210579-12086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01876342Medicaid
NY01876342Medicaid
NYG76943Medicare UPIN