Provider Demographics
NPI:1740489111
Name:ZAKI, RAMI (PA-C)
Entity type:Individual
Prefix:
First Name:RAMI
Middle Name:
Last Name:ZAKI
Suffix:
Gender:
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:DOCTORS CARE
Mailing Address - Street 2:200 MIDDLEBURG DR
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29579-3408
Mailing Address - Country:US
Mailing Address - Phone:843-903-6650
Mailing Address - Fax:843-903-0758
Practice Address - Street 1:DOCTORS CARE
Practice Address - Street 2:200 MIDDLEBURG DRIVE
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-3408
Practice Address - Country:US
Practice Address - Phone:843-903-6650
Practice Address - Fax:843-903-0758
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-06443363A00000X
SC1613363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC055OtherBCBS(FLORENCE LOCATION)
SC239141OtherMEDCOST
NC1740489111Medicaid
SC1109PAMedicaid
SC066OtherBCBS(LITTLE RIVER LOCATION)
SC239141OtherMEDCOST
NCNCT126BMedicare PIN