Provider Demographics
NPI:1871587030
Name:ZAHRAH, GEORGE F (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:F
Last Name:ZAHRAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 CROSS ST 4TH FL
Mailing Address - Street 2:NORWALK MEDICAL GROUP PC
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-4647
Mailing Address - Country:US
Mailing Address - Phone:203-845-4889
Mailing Address - Fax:203-845-4897
Practice Address - Street 1:40 CROSS ST 4TH FL
Practice Address - Street 2:NORWALK MEDICAL GROUP PC
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4647
Practice Address - Country:US
Practice Address - Phone:203-845-4889
Practice Address - Fax:203-845-4897
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2011-04-12
Deactivation Date:2005-09-02
Deactivation Code:
Reactivation Date:2007-07-31
Provider Licenses
StateLicense IDTaxonomies
CT038431207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001384312Medicaid
CT001384312Medicaid
CT110009126Medicare PIN