Provider Demographics
NPI:1740700202
Name:ZAIEM, FERAS (MD)
Entity type:Individual
Prefix:
First Name:FERAS
Middle Name:
Last Name:ZAIEM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:9125 COPPER AVE NE APT 613
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87123-1074
Mailing Address - Country:US
Mailing Address - Phone:216-526-1579
Mailing Address - Fax:
Practice Address - Street 1:424 S 56TH ST STE 110
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-2177
Practice Address - Country:US
Practice Address - Phone:602-685-5211
Practice Address - Fax:480-478-8095
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-26
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ69021207ZP0102X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology