Provider Demographics
NPI:1760723365
Name:ZEKARIA, MERIAM
Entity Type:Individual
Prefix:
First Name:MERIAM
Middle Name:
Last Name:ZEKARIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 FAIRWAY BLVD
Mailing Address - Street 2:205
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2071
Mailing Address - Country:US
Mailing Address - Phone:614-254-1928
Mailing Address - Fax:614-866-7636
Practice Address - Street 1:225 FAIRWAY BLVD
Practice Address - Street 2:205
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2071
Practice Address - Country:US
Practice Address - Phone:614-254-1928
Practice Address - Fax:614-866-7636
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH593832983Medicaid