Provider Demographics
NPI:1679555643
Name:ZAKARIA, NAHED A (MD)
Entity Type:Individual
Prefix:DR
First Name:NAHED
Middle Name:A
Last Name:ZAKARIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1080 KIRTS BLVD
Mailing Address - Street 2:STE 400
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-4881
Mailing Address - Country:US
Mailing Address - Phone:248-362-2660
Mailing Address - Fax:248-362-0662
Practice Address - Street 1:1080 KIRTS BLVD
Practice Address - Street 2:STE 400
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-4881
Practice Address - Country:US
Practice Address - Phone:248-362-2660
Practice Address - Fax:248-362-0662
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301045682208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3264942Medicaid
MI3264942Medicaid