Provider Demographics
NPI:1841502028
Name:ZORRIASATEYN, KAMBIZ (MD)
Entity type:Individual
Prefix:
First Name:KAMBIZ
Middle Name:
Last Name:ZORRIASATEYN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KAMBIZ
Other - Middle Name:
Other - Last Name:ZORRIASATEYNZADEH NEMATOLLAHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9650 GROSS POINT RD STE 4900
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1214
Mailing Address - Country:US
Mailing Address - Phone:847-663-8050
Mailing Address - Fax:224-251-4407
Practice Address - Street 1:9650 GROSS POINT RD STE 4900
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1214
Practice Address - Country:US
Practice Address - Phone:847-663-8050
Practice Address - Fax:224-251-4407
Is Sole Proprietor?:No
Enumeration Date:2010-07-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.128890207RC0000X, 207RC0000X
IL036128890207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine