Provider Demographics
NPI:1750372660
Name:ZAKI, KHAJA MS (MD)
Entity type:Individual
Prefix:
First Name:KHAJA
Middle Name:MS
Last Name:ZAKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2410 NORTHSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-2236
Mailing Address - Country:US
Mailing Address - Phone:727-499-0351
Mailing Address - Fax:727-223-4157
Practice Address - Street 1:5041 WESTSHORE DR
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-3043
Practice Address - Country:US
Practice Address - Phone:727-809-3404
Practice Address - Fax:727-863-3093
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2023-06-14
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Provider Licenses
StateLicense IDTaxonomies
FLME 42358207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL068556900Medicaid
FLD54068Medicare UPIN
FL068556900Medicaid