Provider Demographics
NPI:1083843718
Name:ZAKHARIA, RANA MEDHAT (DMD)
Entity Type:Individual
Prefix:
First Name:RANA
Middle Name:MEDHAT
Last Name:ZAKHARIA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 NICHOLASVILLE RD STE 103
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1493
Mailing Address - Country:US
Mailing Address - Phone:859-278-0085
Mailing Address - Fax:844-270-7010
Practice Address - Street 1:1640 NICHOLASVILLE RD STE 103
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1493
Practice Address - Country:US
Practice Address - Phone:859-278-0085
Practice Address - Fax:844-270-7010
Is Sole Proprietor?:No
Enumeration Date:2009-07-02
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY8796122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100086840Medicaid