Provider Demographics
NPI:1649278367
Name:KAKA, ZEHRA SALIM (MD)
Entity type:Individual
Prefix:DR
First Name:ZEHRA
Middle Name:SALIM
Last Name:KAKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 MUSSELMAN DR
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-9617
Mailing Address - Country:US
Mailing Address - Phone:740-452-1290
Mailing Address - Fax:740-452-0274
Practice Address - Street 1:800 FOREST AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-2882
Practice Address - Country:US
Practice Address - Phone:740-454-5014
Practice Address - Fax:740-455-7517
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2010-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350494922085R0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH311294756005OtherMEDICAL MUTUAL
OH0667238Medicaid
OH360001857OtherRAILROAD MADICARE
OH029415600OtherBLACK LUNG
OH000000119477OtherANTHEM
OH311294756005OtherMEDICAL MUTUAL
OH000000119477OtherANTHEM