Provider Demographics
NPI:1952774176
Name:ZELKHA, SAHAR (OD)
Entity Type:Individual
Prefix:
First Name:SAHAR
Middle Name:
Last Name:ZELKHA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:3803 BROADWAY
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-3183
Practice Address - Country:US
Practice Address - Phone:718-956-3000
Practice Address - Fax:718-204-0227
Is Sole Proprietor?:No
Enumeration Date:2015-11-10
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLTPOP120152W00000X
GAOPT003390152W00000X
CT3259152W00000X
MAOPT5130152W00000X
NY009748152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist