Healthcare Provider Details

I. General information

NPI: 1851578710
Provider Name (Legal Business Name): ZIA A. ZAKAI MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2008
Last Update Date: 03/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 FONTANA LN STE 208
BALTIMORE MD
21237-3079
US

IV. Provider business mailing address

19 FONTANA LN STE 208
BALTIMORE MD
21237-3079
US

V. Phone/Fax

Practice location:
  • Phone: 410-574-4720
  • Fax:
Mailing address:
  • Phone: 410-574-4720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. ZIA A ZAKAI
Title or Position: OWNER
Credential:
Phone: 410-574-4720