Provider Demographics
NPI:1720422561
Name:KHARSA, ZENA (MD)
Entity Type:Individual
Prefix:DR
First Name:ZENA
Middle Name:
Last Name:KHARSA
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 1:222 W 39TH AVE
Mailing Address - Street 2:DEPT OF OB GYN
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-4364
Mailing Address - Country:US
Mailing Address - Phone:650-573-2036
Mailing Address - Fax:650-573-2236
Practice Address - Street 1:222 W 39TH AVE
Practice Address - Street 2:DEPT OF OB GYN
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-4364
Practice Address - Country:US
Practice Address - Phone:650-573-2036
Practice Address - Fax:650-573-2236
Is Sole Proprietor?:No
Enumeration Date:2013-04-23
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA131768207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology