Provider Demographics
NPI:1033785258
Name:KASHOUR, ZAKARIYA TAREK (MBBS)
Entity Type:Individual
Prefix:MR
First Name:ZAKARIYA
Middle Name:TAREK
Last Name:KASHOUR
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119600 26 AVE SW T6W 4P5
Mailing Address - Street 2:#317
Mailing Address - City:EDMONTON
Mailing Address - State:AB
Mailing Address - Zip Code:T6W 4P5
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2157 MAIN ST 5TH FLOOR
Practice Address - Street 2:CHS INTERNAL MEDICINE TRAINING PROGRAM
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214
Practice Address - Country:US
Practice Address - Phone:716-862-1423
Practice Address - Fax:716-862-1871
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-28
Last Update Date:2023-04-06
Deactivation Date:2022-11-28
Deactivation Code:
Reactivation Date:2023-04-06
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program