Provider Demographics
NPI:1851628861
Name:ZADEH SURGICAL INC
Entity Type:Organization
Organization Name:ZADEH SURGICAL INC
Other - Org Name:MICHAEL A. ZADEH M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:AURASH
Authorized Official - Last Name:ZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-789-1111
Mailing Address - Street 1:14658 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3618
Mailing Address - Country:US
Mailing Address - Phone:818-789-1111
Mailing Address - Fax:818-789-1116
Practice Address - Street 1:14658 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3618
Practice Address - Country:US
Practice Address - Phone:818-789-1111
Practice Address - Fax:818-789-1116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-11
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA99098208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACZ888Medicare PIN
CACZ887Medicare PIN