MEDICARE: WAFIK I ZAKI M.D.

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	207Q00000X	Family Medicine Physician	D0047534	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033102975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WAFIK I ZAKI M.D.

Provider Business Mailing Address
First Line	:	920 ELKRIDGE LANDING RD
Second Line	:
City	:	LINTHICUM
State	:	MD
Zip	:	21090-2917
Country	:	US
Telephone Number	:	443-462-5010
Fax Number	:	410-684-2031

Provider Business Practice Location Address
First Line	:	836 S 5TH AVE
Second Line	:
City	:	DENTON
State	:	MD
Zip	:	21629-1398
Country	:	US
Telephone Number	:	410-479-5900
Fax Number	:	410-479-5901

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

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	05/17/2017

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Directions to “ WAFIK I ZAKI M.D.” Practice Location

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