Provider Demographics
NPI:1902039472
Name:KARIM-MAHALATI, ZAUHER (MD, LAC, DOM, ND)
Entity Type:Individual
Prefix:DR
First Name:ZAUHER
Middle Name:
Last Name:KARIM-MAHALATI
Suffix:
Gender:M
Credentials:MD, LAC, DOM, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20307
Mailing Address - Street 2:C/O CHANTILLY HEALTH
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33622-0307
Mailing Address - Country:US
Mailing Address - Phone:304-218-1779
Mailing Address - Fax:727-596-4514
Practice Address - Street 1:184 E 2ND AVE
Practice Address - Street 2:C/O CHANTILLY HEALTH & WELLNESS
Practice Address - City:WILLIAMSON
Practice Address - State:WV
Practice Address - Zip Code:25661
Practice Address - Country:US
Practice Address - Phone:304-218-1779
Practice Address - Fax:727-596-4514
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV96190171100000X
DCNAT1000173175F00000X
FLCNA191405376K00000X
1744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath
No376K00000XNursing Service Related ProvidersNurse's Aide
No1744R1102XOther Service ProvidersSpecialistResearch Study