Provider Demographics
NPI:1255880894
Name:BUKHARI, ZARA
Entity type:Individual
Prefix:
First Name:ZARA
Middle Name:
Last Name:BUKHARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39800 FREMONT BLVD APT 104
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2665
Mailing Address - Country:US
Mailing Address - Phone:510-894-9911
Mailing Address - Fax:
Practice Address - Street 1:39800 FREMONT BLVD APT 104
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2665
Practice Address - Country:US
Practice Address - Phone:510-894-9911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-23
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program