Provider Demographics
NPI:1356354476
Name:ZEV, ZAHAN M (MD)
Entity type:Individual
Prefix:
First Name:ZAHAN
Middle Name:M
Last Name:ZEV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MOHAMMAD
Other - Middle Name:ZAHAN
Other - Last Name:ZEV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2994 CHURCHLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-5643
Mailing Address - Country:US
Mailing Address - Phone:757-484-5113
Mailing Address - Fax:757-686-2805
Practice Address - Street 1:2994 CHURCHLAND BLVD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-5643
Practice Address - Country:US
Practice Address - Phone:757-484-5113
Practice Address - Fax:757-686-2805
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2012-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101237351207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
173771OtherBCBS
VA010134536Medicaid
0408624OtherUNITED HEALTHCARE
2133071OtherALLIANCE OPTIMUM CHOICE
10001834OtherOPTIMA
P00202036OtherMEDICARE RR
VA010134536Medicaid
G39205Medicare UPIN