Provider Demographics
NPI:1396372892
Name:DARD, ZAKI KRISHAN FARAZ (MD)
Entity Type:Individual
Prefix:
First Name:ZAKI
Middle Name:KRISHAN FARAZ
Last Name:DARD
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 1:803 BELL ARBOR CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-6991
Mailing Address - Country:US
Mailing Address - Phone:919-434-9175
Mailing Address - Fax:
Practice Address - Street 1:7540 MIDDLESEX CORPORATE PKWY
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NC
Practice Address - Zip Code:27557-8654
Practice Address - Country:US
Practice Address - Phone:252-235-2298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2023-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2022-03129207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine