Provider Demographics
NPI:1114904059
Name:ZAKAI, ZIA A (MD,PA,MSC)
Entity Type:Individual
Prefix:DR
First Name:ZIA
Middle Name:A
Last Name:ZAKAI
Suffix:
Gender:M
Credentials:MD,PA,MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 FONTANA LN
Mailing Address - Street 2:SUITE 208-210
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3047
Mailing Address - Country:US
Mailing Address - Phone:410-574-4720
Mailing Address - Fax:410-574-6049
Practice Address - Street 1:19 FONTANA LN
Practice Address - Street 2:SUITE 208-210
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-3047
Practice Address - Country:US
Practice Address - Phone:410-574-4720
Practice Address - Fax:410-574-6049
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-30
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0026485207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC48935Medicare UPIN
MD9529Medicare PIN