Provider Demographics
NPI:1982661260
Name:ZAKI, RADI (MD)
Entity Type:Individual
Prefix:
First Name:RADI
Middle Name:
Last Name:ZAKI
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 1:5401 OLD YORK ROAD
Mailing Address - Street 2:KLEIN SUITE 505
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141
Mailing Address - Country:US
Mailing Address - Phone:215-456-6933
Mailing Address - Fax:
Practice Address - Street 1:5401 OLD YORK RD
Practice Address - Street 2:KLEIN 505
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3030
Practice Address - Country:US
Practice Address - Phone:215-456-7700
Practice Address - Fax:215-456-6312
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD068115L204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001905510Medicaid
H48829Medicare UPIN
PA001905510Medicaid