Provider Demographics
NPI:1205243557
Name:SARDAR, ZEESHAN MOHAMMAD (MD)
Entity type:Individual
Prefix:DR
First Name:ZEESHAN
Middle Name:MOHAMMAD
Last Name:SARDAR
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 1:5141 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-1159
Mailing Address - Country:US
Mailing Address - Phone:212-932-5187
Mailing Address - Fax:646-317-1288
Practice Address - Street 1:622 W 168TH ST PH 11-102
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3720
Practice Address - Country:US
Practice Address - Phone:212-932-5187
Practice Address - Fax:212-932-5097
Is Sole Proprietor?:No
Enumeration Date:2014-07-18
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY280620207X00000X
CA131710207X00000X
PAMD446674207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery