Provider Demographics
NPI:1871956458
Name:ZAHID, SOOMBAL (DO)
Entity type:Individual
Prefix:DR
First Name:SOOMBAL
Middle Name:
Last Name:ZAHID
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 MADISON AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-3418
Mailing Address - Country:US
Mailing Address - Phone:646-754-2000
Mailing Address - Fax:646-754-9690
Practice Address - Street 1:555 MADISON AVE FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-3418
Practice Address - Country:US
Practice Address - Phone:646-754-2000
Practice Address - Fax:646-754-9690
Is Sole Proprietor?:No
Enumeration Date:2016-04-01
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY301254207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology