Provider Demographics
NPI:1952750002
Name:TRAHAN, RINITA ZANZERKIA (OD)
Entity Type:Individual
Prefix:
First Name:RINITA
Middle Name:ZANZERKIA
Last Name:TRAHAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:RINITA
Other - Middle Name:R
Other - Last Name:ZANZERKIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:161 DEER ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-3905
Mailing Address - Country:US
Mailing Address - Phone:603-430-0211
Mailing Address - Fax:866-694-2132
Practice Address - Street 1:161 DEER ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-3905
Practice Address - Country:US
Practice Address - Phone:603-430-0211
Practice Address - Fax:866-694-2132
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH930152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist