Provider Demographics
NPI:1629508114
Name:MAKKI, ZEINAB M (MD)
Entity Type:Individual
Prefix:
First Name:ZEINAB
Middle Name:M
Last Name:MAKKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ZEINAB
Other - Middle Name:M
Other - Last Name:RIZK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:26901 BEAUMONT BLVD STE 3D
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-3849
Mailing Address - Country:US
Mailing Address - Phone:947-522-1862
Mailing Address - Fax:947-522-0307
Practice Address - Street 1:7330 N CANTON CENTER RD STE 111
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-1538
Practice Address - Country:US
Practice Address - Phone:734-454-8001
Practice Address - Fax:734-454-8030
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4351028124207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine