Provider Demographics
NPI:1861501702
Name:DAJANI, ZUHDI MOHAMMED (MD)
Entity Type:Individual
Prefix:
First Name:ZUHDI
Middle Name:MOHAMMED
Last Name:DAJANI
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 1:720 W MAHONING ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PUNXSUTAWNEY
Mailing Address - State:PA
Mailing Address - Zip Code:15767-1308
Mailing Address - Country:US
Mailing Address - Phone:814-938-2000
Mailing Address - Fax:814-938-2001
Practice Address - Street 1:720 W MAHONING ST
Practice Address - Street 2:SUITE 300
Practice Address - City:PUNXSUTAWNEY
Practice Address - State:PA
Practice Address - Zip Code:15767-1308
Practice Address - Country:US
Practice Address - Phone:814-938-2000
Practice Address - Fax:814-938-2001
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD043759L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0080192Medicaid
WV3810021998Medicaid
PA'0012559900006Medicaid
PA125093NJ5Medicare PIN
PA528486Medicare PIN
PA'0012559900006Medicaid