Provider Demographics
NPI:1700057882
Name:ZAKY, ZIAD SOBHY (MD)
Entity Type:Individual
Prefix:
First Name:ZIAD
Middle Name:SOBHY
Last Name:ZAKY
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 1:9500 EUCLID AVE
Mailing Address - Street 2:DESK Q7
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-445-0034
Mailing Address - Fax:216-444-9378
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:DESK Q7
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-445-0034
Practice Address - Fax:216-444-9378
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY266246207RN0300X
OH122071207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1346398971OtherGRP NPI
MI205485614OtherTAX ID
MI110F336360OtherBCBSM
MIZZ085326OtherLICENSE
MI0P41360029Medicare PIN