Provider Demographics
NPI:1457516163
Name:BRIFKANI, ZAID A
Entity Type:Individual
Prefix:
First Name:ZAID
Middle Name:A
Last Name:BRIFKANI
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 1:427 N WILLOW AVE STE C
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-2354
Mailing Address - Country:US
Mailing Address - Phone:931-650-0076
Mailing Address - Fax:833-992-2327
Practice Address - Street 1:427 N WILLOW AVE STE C
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-2354
Practice Address - Country:US
Practice Address - Phone:931-650-0076
Practice Address - Fax:833-992-2327
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN47577207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNVAD000OtherFEDERAL UPIN
KY7100179420Medicaid
TN1524517Medicaid
TN6072915OtherBCBS
TN6072915OtherBCBS