Provider Demographics
NPI:1528371218
Name:ZAKI, EMAD L (MD)
Entity Type:Individual
Prefix:
First Name:EMAD
Middle Name:L
Last Name:ZAKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 52696
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85072-2696
Mailing Address - Country:US
Mailing Address - Phone:970-395-7878
Mailing Address - Fax:970-395-7880
Practice Address - Street 1:10250 N 92ND ST
Practice Address - Street 2:STE 308
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4510
Practice Address - Country:US
Practice Address - Phone:480-614-6655
Practice Address - Fax:480-614-6656
Is Sole Proprietor?:No
Enumeration Date:2010-07-22
Last Update Date:2011-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ438242080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ564432Medicaid
AZZ141427Medicare PIN