Provider Demographics
NPI:1114222445
Name:ZAIB A UKANI M D P A
Entity Type:Organization
Organization Name:ZAIB A UKANI M D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZAIB
Authorized Official - Middle Name:A
Authorized Official - Last Name:UKANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-499-2223
Mailing Address - Street 1:16244 S MILITARY TRL
Mailing Address - Street 2:SUITE # 410
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6534
Mailing Address - Country:US
Mailing Address - Phone:561-499-2223
Mailing Address - Fax:561-638-4919
Practice Address - Street 1:16244 S MILITARY TRL
Practice Address - Street 2:SUITE # 410
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6534
Practice Address - Country:US
Practice Address - Phone:561-499-2223
Practice Address - Fax:561-638-4919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0069029207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty