Healthcare Provider Details

I. General information

NPI: 1922933043
Provider Name (Legal Business Name): AMIR ZAKIRALI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 N FREMONT ST
SHENANDOAH IA
51601-1022
US

IV. Provider business mailing address

202 E SANTA ANNA DR
ROBINSON TX
76706-4854
US

V. Phone/Fax

Practice location:
  • Phone: 254-220-0069
  • Fax:
Mailing address:
  • Phone: 254-220-0069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: