Provider Demographics
NPI:1700069234
Name:KIRAN, ZAHRA (MD)
Entity Type:Individual
Prefix:
First Name:ZAHRA
Middle Name:
Last Name:KIRAN
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 1:1002 BRIGHTSTONE DR
Mailing Address - Street 2:APT 203
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-5759
Mailing Address - Country:US
Mailing Address - Phone:717-332-6995
Mailing Address - Fax:
Practice Address - Street 1:1002 BRIGHTSTONE DR
Practice Address - Street 2:APT 203
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-5759
Practice Address - Country:US
Practice Address - Phone:717-332-6995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-06
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT 190649207Q00000X
MDD0071056207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine