Provider Demographics
NPI:1881398121
Name:AL-KHALEEFA, ZAIN ADEL (MD)
Entity type:Individual
Prefix:DR
First Name:ZAIN
Middle Name:ADEL
Last Name:AL-KHALEEFA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ZAIN
Other - Middle Name:ADEL
Other - Last Name:AL-MOMANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:340 E. NORTH WATER ST UNIT 3208
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611
Mailing Address - Country:US
Mailing Address - Phone:079-579-0209
Mailing Address - Fax:
Practice Address - Street 1:2301 HOLMES STREET
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108
Practice Address - Country:US
Practice Address - Phone:816-404-4175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program