Provider Demographics
NPI:1831796267
Name:ZINDANI, JOWHARH (PA-C)
Entity type:Individual
Prefix:
First Name:JOWHARH
Middle Name:
Last Name:ZINDANI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:JOWHARA
Other - Middle Name:
Other - Last Name:ZINDANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:12020 MITCHELL ST
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-2722
Mailing Address - Country:US
Mailing Address - Phone:248-828-6323
Mailing Address - Fax:
Practice Address - Street 1:12020 MITCHELL ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-2722
Practice Address - Country:US
Practice Address - Phone:248-828-6323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant