Provider Demographics
NPI:1609452374
Name:DOSSAJI, ZAHRA (DO)
Entity type:Individual
Prefix:
First Name:ZAHRA
Middle Name:
Last Name:DOSSAJI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ZAHRA
Other - Middle Name:ISMAIL
Other - Last Name:DOSSAJI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:3016 W CHARLESTON BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1973
Mailing Address - Country:US
Mailing Address - Phone:702-780-2315
Mailing Address - Fax:702-895-4014
Practice Address - Street 1:1707 W CHARLESTON BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2352
Practice Address - Country:US
Practice Address - Phone:702-676-3650
Practice Address - Fax:702-671-5198
Is Sole Proprietor?:No
Enumeration Date:2021-03-22
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVDO3694207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine