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General NPI Number Information
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NPI Number | 1700397437
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Entity Type | Individual
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Provider Name | ZAKIYYAH SULUKI CERTIFIED HAIR LOSS
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Gender | Female
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Dates
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Enumeration Date | 10/20/2017
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Last Update Date | 08/17/2025
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Provider Practice Location Address
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Address Line | 751 VANDENBURG RD APT 1124
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-1566
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Country | US
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Telephone | 610-400-4688
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Fax | 828-383-9667
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Provider Business Mailing Address
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Address Line | 701 E CATHEDRAL RD # 2232
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City | PHILADELPHIA
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State | PA
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Zip | 19128-2128
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Country | US
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Telephone | 610-400-4688
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Fax | 828-383-9667
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number | CT020639L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number | CT020639
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License Number State | PA
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