Basic Information
Provider Information
NPI: 1639315294
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LADHA
FirstName: ZULEIKA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10 AMSTERDAM AVE
Address2:  
City: NEW YORK
State: NY
PostalCode: 100237464
CountryCode: US
TelephoneNumber: 6025091232
FaxNumber:  
Practice Location
Address1: 1000 10TH AVE
Address2: DEPARTMENT OF EMERGENCY MEDICINE
City: NEW YORK
State: NY
PostalCode: 100191147
CountryCode: US
TelephoneNumber: 2125234000
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/31/2008
LastUpdateDate: 08/29/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207P00000X252642NYY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


Home