Provider Demographics
NPI:1174583074
Name:CHARANIA, ZAHIR (OD)
Entity type:Individual
Prefix:DR
First Name:ZAHIR
Middle Name:
Last Name:CHARANIA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 N PARKVIEW CT
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-5073
Mailing Address - Country:US
Mailing Address - Phone:602-476-2082
Mailing Address - Fax:
Practice Address - Street 1:250 N PARKVIEW CT
Practice Address - Street 2:
Practice Address - City:LITCHFIELD PARK
Practice Address - State:AZ
Practice Address - Zip Code:85340-5073
Practice Address - Country:US
Practice Address - Phone:602-476-2082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1401152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZV03850OtherUPIN NUMBER
AZ908759Medicare ID - Type UnspecifiedAHCCCS NUMBER
AZV03850OtherUPIN NUMBER