Provider Demographics
NPI:1477709327
Name:ZENI, AMER MOHAMED (MD)
Entity type:Individual
Prefix:
First Name:AMER
Middle Name:MOHAMED
Last Name:ZENI
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 1:29519 HARPER AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-1275
Mailing Address - Country:US
Mailing Address - Phone:586-270-5100
Mailing Address - Fax:586-270-5111
Practice Address - Street 1:29519 HARPER AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-1275
Practice Address - Country:US
Practice Address - Phone:586-270-5100
Practice Address - Fax:586-270-5111
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125053962208600000X
MI4301094379208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI700E012740OtherBCBSM GROUP PIN
MI0N40170Medicare PIN