Provider Demographics
NPI:1669695078
Name:ZANAK, SAROJ R (MD)
Entity type:Individual
Prefix:
First Name:SAROJ
Middle Name:R
Last Name:ZANAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18311 BAILEY DR APT 32
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-4738
Mailing Address - Country:US
Mailing Address - Phone:310-294-3771
Mailing Address - Fax:
Practice Address - Street 1:333 N PRAIRIE AVE
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-4501
Practice Address - Country:US
Practice Address - Phone:310-673-6666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93815208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics