Healthcare Provider Details

I. General information

NPI: 1295768844
Provider Name (Legal Business Name): ZAIB A UKANI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16244 MILITARY TRL SUITE 410
DELRAY BEACH FL
33484-6534
US

IV. Provider business mailing address

21708 MARIGOT DR
BOCA RATON FL
33428-4826
US

V. Phone/Fax

Practice location:
  • Phone: 561-499-2223
  • Fax: 561-638-4919
Mailing address:
  • Phone: 561-488-6122
  • Fax: 561-488-7092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME0069029
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: