Doctor Name: | ZANITA KASSAM |
NPI Number: | 1225340243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 244219 |
Business Practice Address: | 1100 N Palm Canyon Dr Suite 212 Palm Springs, CA - 922624414 |
Business Phone Number: | 7603277900 |
Business Fax Number: | 7603277905 |
Mailing Address: | 1100 N Palm Canyon Dr, Suite 212 PALM SPRINGS |
State: | CA |
Postal Code: | 922624414 |
Phone Number: | 7603277900 |
Fax Number: | 7603277905 |
NPI Enumeration Date: | 07/07/2010 |
NPI Last Update Date: | 07/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 244219 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |