Provider Demographics
NPI:1801465687
Name:RAWI, ZAINAB A (DDS)
Entity type:Individual
Prefix:
First Name:ZAINAB
Middle Name:A
Last Name:RAWI
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48370 BINGHAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-8682
Mailing Address - Country:US
Mailing Address - Phone:408-429-5424
Mailing Address - Fax:
Practice Address - Street 1:36051 FIVE MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1931
Practice Address - Country:US
Practice Address - Phone:408-429-5424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-24
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12013640A1223G0001X
FLDN260781223G0001X
MI2901601136122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice