Provider Demographics
NPI:1962460501
Name:ELIAS, ZOUHEIR HANNA (MD)
Entity Type:Individual
Prefix:
First Name:ZOUHEIR
Middle Name:HANNA
Last Name:ELIAS
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 1:18350 ROSCOE BLVD
Mailing Address - Street 2:#401
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-4169
Mailing Address - Country:US
Mailing Address - Phone:818-734-4888
Mailing Address - Fax:818-734-4878
Practice Address - Street 1:18350 ROSCOE BLVD
Practice Address - Street 2:#401
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4169
Practice Address - Country:US
Practice Address - Phone:818-734-4888
Practice Address - Fax:818-734-4878
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA033856207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3134816OtherMETACAL
CA3134816OtherMETACAL
A27273Medicare UPIN