Provider Demographics
NPI:1700232907
Name:EFFENDI, ZOYA JAHANZEB (MD)
Entity Type:Individual
Prefix:DR
First Name:ZOYA
Middle Name:JAHANZEB
Last Name:EFFENDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ZOYA
Other - Middle Name:
Other - Last Name:FAROOQUI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:12222 CHENA LK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-4555
Mailing Address - Country:US
Mailing Address - Phone:570-877-5414
Mailing Address - Fax:
Practice Address - Street 1:501 MADISON AVENUE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18510
Practice Address - Country:US
Practice Address - Phone:570-343-2383
Practice Address - Fax:570-343-4800
Is Sole Proprietor?:No
Enumeration Date:2016-05-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXS1590207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program