Provider Demographics
NPI:1730354457
Name:ZAMBARE, SUCHITRA V (MD)
Entity type:Individual
Prefix:DR
First Name:SUCHITRA
Middle Name:V
Last Name:ZAMBARE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:22255 GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-3710
Mailing Address - Country:US
Mailing Address - Phone:248-849-4880
Mailing Address - Fax:248-849-4881
Practice Address - Street 1:22255 GREENFIELD RD
Practice Address - Street 2:STE #130
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-3710
Practice Address - Country:US
Practice Address - Phone:248-849-4880
Practice Address - Fax:248-849-4881
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301082508207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism