Healthcare Provider Details

I. General information

NPI: 1982929121
Provider Name (Legal Business Name): SAMMY ZAKHARY MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2010
Last Update Date: 06/20/2023
Certification Date: 06/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6591 W THUNDERBIRD RD STE D1
GLENDALE AZ
85306-3720
US

IV. Provider business mailing address

6591 W THUNDERBIRD RD STE D1
GLENDALE AZ
85306-3720
US

V. Phone/Fax

Practice location:
  • Phone: 623-258-3255
  • Fax: 623-478-2215
Mailing address:
  • Phone: 623-258-3255
  • Fax: 623-478-2215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number40583
License Number StateAZ

VIII. Authorized Official

Name: SAMMY A ZAKHARY
Title or Position: OWNER
Credential: M.D.
Phone: 623-258-3255