Provider Demographics
NPI:1871682708
Name:RAYAN, ZABER AHMAD KHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ZABER
Middle Name:AHMAD KHAN
Last Name:RAYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ZABER
Other - Middle Name:AHMAD
Other - Last Name:KHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:188 DAHILL RD STE A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-2209
Mailing Address - Country:US
Mailing Address - Phone:718-435-4600
Mailing Address - Fax:718-435-4772
Practice Address - Street 1:188 DAHILL RD
Practice Address - Street 2:SUIT - A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-2289
Practice Address - Country:US
Practice Address - Phone:718-435-4600
Practice Address - Fax:718-435-4772
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234133207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02807454Medicaid
NY02807454Medicaid
A400033174Medicare PIN