National Provider Identifier
Azka Shahid Zergham, MD
Azka Shahid Zergham, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Ithaca, NY and a listed phone number of (914) 608-1806.
Profile Overview
- NPI
- 1457924474
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- July 19, 2021
- Last Updated
- July 21, 2025
Practice Location
- 40 Catherwood RD
- Ithaca, NY 14850-1056
Phone: (914) 608-1806
Mailing Address
- 1301 Trumansburg RD Ste P
- Ithaca, NY 14850-1397
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1457924474
- Entity Type
- Individual
- Last Name
- Zergham
- First Name
- Azka
- Middle Name
- Shahid
- Name Prefix
- Dr.
- Credential
- MD
- Provider Other Last Name
- Shahid
- Provider Other First Name
- Azka
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- MD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1301 Trumansburg RD Ste P
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1397
- Mailing Country
- US
- Mailing Phone
- (914) 608-1806
- Practice Street Address
- 40 Catherwood RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1056
- Practice Country
- US
- Practice Phone
- (914) 608-1806
- Enumeration Date
- July 19, 2021
- Last Updated
- July 21, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- July 21, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)