MEDICARE: BARA ZUHAILI MD

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	2086S0129X	Vascular Surgery Physician	35.145585	OH
2	2086S0129X	Vascular Surgery Physician	D81812	MD
3	2086S0129X	Vascular Surgery Physician	4301104527	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	234665	OTHER	MA	GENERAL SURGERY

General Provider Information

NPI Number	:	1396994851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARA ZUHAILI MD

Provider Business Mailing Address
First Line	:	4000 WELLNESS DR
Second Line	:
City	:	MIDLAND
State	:	MI
Zip	:	48670-2000
Country	:	US
Telephone Number	:	844-832-1956
Fax Number	:	989-633-5241

Provider Business Practice Location Address
First Line	:	5020 W BRISTOL RD
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48507-2919
Country	:	US
Telephone Number	:	810-732-1620
Fax Number	:	810-732-8559

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

Provider Enumeration Date	:	09/09/2008
Last Update Date	:	06/16/2026

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Directions to “ BARA ZUHAILI MD” Practice Location

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