Provider Demographics
NPI:1053321042
Name:ZAKI, ATEKA (MD)
Entity Type:Individual
Prefix:
First Name:ATEKA
Middle Name:
Last Name:ZAKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15200 SOUTHWEST FWY
Mailing Address - Street 2:240
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3845
Mailing Address - Country:US
Mailing Address - Phone:281-242-5400
Mailing Address - Fax:281-242-5401
Practice Address - Street 1:15200 SOUTHWEST FWY
Practice Address - Street 2:240
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3845
Practice Address - Country:US
Practice Address - Phone:281-242-5400
Practice Address - Fax:281-242-5401
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL59592084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX169385503Medicaid
TXI21487Medicare UPIN
TX169385503Medicaid