Provider Demographics
NPI:1780915926
Name:MOHAMED RIYAZ ZAVAHIR
Entity type:Organization
Organization Name:MOHAMED RIYAZ ZAVAHIR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:RIYAZ
Authorized Official - Last Name:ZAVAHIR
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:562-728-3431
Mailing Address - Street 1:1939 SHIPWAY AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-3625
Mailing Address - Country:US
Mailing Address - Phone:562-728-3431
Mailing Address - Fax:
Practice Address - Street 1:1939 SHIPWAY AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-3625
Practice Address - Country:US
Practice Address - Phone:562-728-3431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA540190251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management