Provider Demographics
NPI:1336290444
Name:TAWADROUS, ZAKARIA (MD)
Entity Type:Individual
Prefix:
First Name:ZAKARIA
Middle Name:
Last Name:TAWADROUS
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 1:3942 E AMBER LN
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-1845
Mailing Address - Country:US
Mailing Address - Phone:412-414-8215
Mailing Address - Fax:
Practice Address - Street 1:ARCHSTONE CARE CENTER
Practice Address - Street 2:1980 W. PECOS RD
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224
Practice Address - Country:US
Practice Address - Phone:126-848-0821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI51697207R00000X
TXR2759207R00000X
AZ69096207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine