Provider Demographics
NPI:1679597967
Name:ZAKI, HODA A (MD)
Entity Type:Individual
Prefix:
First Name:HODA
Middle Name:A
Last Name:ZAKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5050 VILLA LINDE PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3436
Mailing Address - Country:US
Mailing Address - Phone:810-877-7376
Mailing Address - Fax:810-230-9368
Practice Address - Street 1:5050 VILLA LINDE PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3436
Practice Address - Country:US
Practice Address - Phone:810-877-7376
Practice Address - Fax:810-230-9368
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301051532207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P12860Medicare ID - Type Unspecified
MIE68055Medicare UPIN