Provider Demographics
NPI:1578137394
Name:KAYALI, ZEINA SOHAIL (MD)
Entity Type:Individual
Prefix:MS
First Name:ZEINA
Middle Name:SOHAIL
Last Name:KAYALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 SOUTH TAMIAMI TRAIL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239
Mailing Address - Country:US
Mailing Address - Phone:941-917-7799
Mailing Address - Fax:
Practice Address - Street 1:1700 SOUTH TAMIAMI TRAIL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239
Practice Address - Country:US
Practice Address - Phone:941-917-7799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-17
Last Update Date:2023-02-03
Deactivation Date:2022-10-31
Deactivation Code:
Reactivation Date:2023-02-03
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLTRN34067390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program