Provider Demographics
NPI:1215564802
Name:KHREEFA, ZAID (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAID
Middle Name:
Last Name:KHREEFA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15846 REVERE DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1066
Mailing Address - Country:US
Mailing Address - Phone:248-242-1558
Mailing Address - Fax:
Practice Address - Street 1:15846 REVERE DR
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-1066
Practice Address - Country:US
Practice Address - Phone:248-242-1558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program