Provider Demographics
NPI:1629391032
Name:KHATEEB, ZABEEULLAH KHAJA (RPH)
Entity Type:Individual
Prefix:MR
First Name:ZABEEULLAH
Middle Name:KHAJA
Last Name:KHATEEB
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 PASCACK RD
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-4235
Mailing Address - Country:US
Mailing Address - Phone:201-634-9103
Mailing Address - Fax:212-877-7512
Practice Address - Street 1:171 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-5907
Practice Address - Country:US
Practice Address - Phone:212-877-7340
Practice Address - Fax:212-877-7512
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042551183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist