Provider Demographics
NPI:1457735722
Name:FATIMA, ZARA (MD)
Entity Type:Individual
Prefix:
First Name:ZARA
Middle Name:
Last Name:FATIMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:751 NORTH RUTLEDGE, 3612 PO BOX 19643
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62794-9643
Mailing Address - Country:US
Mailing Address - Phone:217-545-7210
Mailing Address - Fax:217-545-1903
Practice Address - Street 1:301 N 27TH ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4401
Practice Address - Country:US
Practice Address - Phone:402-844-8166
Practice Address - Fax:402-844-8199
Is Sole Proprietor?:No
Enumeration Date:2015-07-16
Last Update Date:2024-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE333532084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology