Provider Demographics
NPI:1245016195
Name:ZAKIR, ZAHEEDA (PA-C)
Entity type:Individual
Prefix:
First Name:ZAHEEDA
Middle Name:
Last Name:ZAKIR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 PUTTING GREEN RD
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-2519
Mailing Address - Country:US
Mailing Address - Phone:203-685-8904
Mailing Address - Fax:
Practice Address - Street 1:146 PUTTING GREEN RD
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-2519
Practice Address - Country:US
Practice Address - Phone:203-685-8904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant