Provider Demographics
NPI:1235576562
Name:GRADA, ZAKARIA (MD)
Entity Type:Individual
Prefix:
First Name:ZAKARIA
Middle Name:
Last Name:GRADA
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 1:206 GIORDANO AVE
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-4111
Mailing Address - Country:US
Mailing Address - Phone:916-595-0784
Mailing Address - Fax:401-444-8514
Practice Address - Street 1:206 GIORDANO AVE
Practice Address - Street 2:
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-4111
Practice Address - Country:US
Practice Address - Phone:916-595-0784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILP02762207ZP0102X
NY313399207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology