Provider Demographics
NPI:1760734198
Name:HASSAN, ZAKARIA ABUKAR
Entity Type:Individual
Prefix:
First Name:ZAKARIA
Middle Name:ABUKAR
Last Name:HASSAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1327 W 27TH AVE APT 11
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-2362
Mailing Address - Country:US
Mailing Address - Phone:907-310-4306
Mailing Address - Fax:
Practice Address - Street 1:1327 W 27TH AVE APT 11
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2362
Practice Address - Country:US
Practice Address - Phone:907-310-4306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-09
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK7410037372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion