MEDICARE: ZAKEIH CHAKER 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	208M00000X	Hospitalist Physician	MD047416	DC
2	390200000X	Student in an Organized Health Care Education/Training Program		WV
3	207RC0000X	Cardiovascular Disease Physician	0101277307	VA

General Provider Information

NPI Number	:	1720436082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAKEIH CHAKER M.D.

Provider Business Mailing Address
First Line	:	6136 BRANDON AVE
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22150-2610
Country	:	US
Telephone Number	:	38-663-1317
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 S SHIRLINGTON RD STE 300
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22206-3623
Country	:	US
Telephone Number	:	703-844-7770
Fax Number	:

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

Provider Enumeration Date	:	05/27/2016
Last Update Date	:	04/27/2023

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