MEDICARE: MS. EMILY ZAKHARY DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207P00000X	Emergency Medicine Physician	U4384	TX

General Provider Information

NPI Number	:	1023691953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EMILY ZAKHARY DO

Provider Business Mailing Address
First Line	:	2901 BERTLAND AVE APT 1515
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-6828
Country	:	US
Telephone Number	:	254-709-4367
Fax Number	:

Provider Business Practice Location Address
First Line	:	2901 BERTLAND AVE APT 1515
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-6828
Country	:	US
Telephone Number	:	254-709-4367
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2021
Last Update Date	:	07/20/2023

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