Provider Demographics
NPI:1003977968
Name:AKROUT, ZOUBIR (MD)
Entity Type:Individual
Prefix:DR
First Name:ZOUBIR
Middle Name:
Last Name:AKROUT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BY PASS RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SALEM
Mailing Address - State:NJ
Mailing Address - Zip Code:08079-2053
Mailing Address - Country:US
Mailing Address - Phone:856-935-1514
Mailing Address - Fax:856-935-4317
Practice Address - Street 1:4 BY PASS RD
Practice Address - Street 2:SUITE 204
Practice Address - City:SALEM
Practice Address - State:NJ
Practice Address - Zip Code:08079-2053
Practice Address - Country:US
Practice Address - Phone:856-935-1514
Practice Address - Fax:856-935-4317
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA37047208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3083107Medicaid
NJAK107411Medicare ID - Type Unspecified
NJ3083107Medicaid