Provider Demographics
NPI:1093379075
Name:ZAKI, AMR M (MD)
Entity Type:Individual
Prefix:MR
First Name:AMR
Middle Name:M
Last Name:ZAKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:AMR
Other - Middle Name:MOHAMED MOHAMED
Other - Last Name:ZAKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3204 SW CORBETT AVE.
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239
Mailing Address - Country:US
Mailing Address - Phone:971-990-6526
Mailing Address - Fax:
Practice Address - Street 1:3375 SW TERWILLIGER BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239
Practice Address - Country:US
Practice Address - Phone:902-449-6650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program