Provider Demographics
NPI:1457842973
Name:ZAKHARIA, IMAD H
Entity Type:Individual
Prefix:
First Name:IMAD
Middle Name:H
Last Name:ZAKHARIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34980 ANN ARBOR TRL APT C17
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-3790
Mailing Address - Country:US
Mailing Address - Phone:734-776-1473
Mailing Address - Fax:
Practice Address - Street 1:34980 ANN ARBOR TRL APT C17
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-3790
Practice Address - Country:US
Practice Address - Phone:734-776-1473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter