Healthcare Provider Details

I. General information

NPI: 1174700231
Provider Name (Legal Business Name): MERCY CONSULTANTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2008
Last Update Date: 01/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 WHISPERING PINE LN
WASHINGTON TOWNSHIP OH
45458-6060
US

IV. Provider business mailing address

1016 WHISPERING PINE LN
WASHINGTON TOWNSHIP OH
45458-6060
US

V. Phone/Fax

Practice location:
  • Phone: 937-886-4555
  • Fax: 937-886-4472
Mailing address:
  • Phone: 937-886-4555
  • Fax: 937-886-4472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: ZAKIR JALAL KHANZADA
Title or Position: OWNER
Credential: MD
Phone: 937-886-4555