Provider Demographics
NPI:1912218272
Name:ZAKARIA, MHD FIRAS (MD)
Entity Type:Individual
Prefix:
First Name:MHD FIRAS
Middle Name:
Last Name:ZAKARIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13305 S RIDGELAND AVE
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1808
Mailing Address - Country:US
Mailing Address - Phone:708-361-6714
Mailing Address - Fax:844-850-6291
Practice Address - Street 1:13305 S RIDGELAND AVE UNIT A
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1814
Practice Address - Country:US
Practice Address - Phone:708-620-4545
Practice Address - Fax:844-850-6291
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036128519208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF400138732OtherMEDICARE PTAN-IHG
IL036128519Medicaid
IL036128519Medicaid