Healthcare Provider Details

I. General information

NPI: 1194308643
Provider Name (Legal Business Name): ZAKARIA COLE TAZKARGY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2021
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 W LINCOLN ST
LINDSBORG KS
67456-2328
US

IV. Provider business mailing address

605 W LINCOLN ST
LINDSBORG KS
67456-2328
US

V. Phone/Fax

Practice location:
  • Phone: 785-227-3371
  • Fax: 785-227-3004
Mailing address:
  • Phone: 785-227-3371
  • Fax: 785-227-3004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number04-49984
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: