Provider Demographics
NPI:1831157577
Name:ZAKARIA, SARAH FAHEEM (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:FAHEEM
Last Name:ZAKARIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:NAIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 WHEATLEY AVE
Mailing Address - Street 2:
Mailing Address - City:EAST WILLISTON
Mailing Address - State:NY
Mailing Address - Zip Code:11596-2543
Mailing Address - Country:US
Mailing Address - Phone:508-868-6701
Mailing Address - Fax:
Practice Address - Street 1:10414 113TH ST FL 1
Practice Address - Street 2:
Practice Address - City:SOUTH RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419-2506
Practice Address - Country:US
Practice Address - Phone:718-775-7708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2020-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA227080207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2146851Medicaid
MA2146851Medicaid