Provider Demographics
NPI:1497816912
Name:MARAM F ZAKKO, MD INC
Entity Type:Organization
Organization Name:MARAM F ZAKKO, MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARAM
Authorized Official - Middle Name:F
Authorized Official - Last Name:ZAKKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-747-9682
Mailing Address - Street 1:488 E VALLEY PKWY
Mailing Address - Street 2:STE 106
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-3363
Mailing Address - Country:US
Mailing Address - Phone:760-747-9682
Mailing Address - Fax:
Practice Address - Street 1:488 E VALLEY PKWY
Practice Address - Street 2:STE 106
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-3363
Practice Address - Country:US
Practice Address - Phone:760-747-9682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
A64346Medicare ID - Type Unspecified