Provider Demographics
NPI:1336714906
Name:UMAR, ZARYAB (MD)
Entity Type:Individual
Prefix:
First Name:ZARYAB
Middle Name:
Last Name:UMAR
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 1:6740 NW MONOCO CT
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-5341
Mailing Address - Country:US
Mailing Address - Phone:772-643-6331
Mailing Address - Fax:
Practice Address - Street 1:82-68 164TH STREET, N BUILDING 7TH FLOOR, ROOM N-705, J
Practice Address - Street 2:
Practice Address - City:QUEEN
Practice Address - State:NY
Practice Address - Zip Code:11432
Practice Address - Country:US
Practice Address - Phone:718-883-4583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-25
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program