Provider Demographics
NPI:1477631836
Name:SUBHANI, ZAKIA R (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAKIA
Middle Name:R
Last Name:SUBHANI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5340 W SAXON CIR
Mailing Address - Street 2:
Mailing Address - City:SOUTHWEST RANCHES
Mailing Address - State:FL
Mailing Address - Zip Code:33331-2805
Mailing Address - Country:US
Mailing Address - Phone:954-434-4560
Mailing Address - Fax:954-434-8347
Practice Address - Street 1:4105 PEMBROKE RD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-8103
Practice Address - Country:US
Practice Address - Phone:954-985-1551
Practice Address - Fax:954-985-1415
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME43531207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL263362100Medicaid
FLME43531OtherLICENSE #
FLAS1723609OtherDEA #