Provider Demographics
NPI:1861508285
Name:ZARIKIAN, VAHE NAZAR (MD)
Entity Type:Individual
Prefix:DR
First Name:VAHE
Middle Name:NAZAR
Last Name:ZARIKIAN
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 1:6388 SILVER STAR RD
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-3235
Mailing Address - Country:US
Mailing Address - Phone:407-295-2515
Mailing Address - Fax:407-295-3008
Practice Address - Street 1:6388 SILVER STAR RD
Practice Address - Street 2:SUITE 2D
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-3235
Practice Address - Country:US
Practice Address - Phone:407-295-2515
Practice Address - Fax:407-295-3008
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL47134207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
03745Medicare ID - Type Unspecified
D50812Medicare UPIN