Provider Demographics
NPI:1124111067
Name:MUHAMMED H. ZAHRA, MD
Entity type:Organization
Organization Name:MUHAMMED H. ZAHRA, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMED
Authorized Official - Middle Name:H
Authorized Official - Last Name:ZAHRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-333-3332
Mailing Address - Street 1:275 SPRINGSIDE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-4549
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:25200 CENTER RIDGE RD
Practice Address - Street 2:SUITE 1100
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-4141
Practice Address - Country:US
Practice Address - Phone:440-333-3332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-051320207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0663527Medicaid
OHA16980Medicare UPIN