MEDICARE: ZK ENTERPRISES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	8956	NV

General Provider Information

NPI Number	:	1003904665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZK ENTERPRISES, INC

Provider Business Mailing Address
First Line	:	PO BOX 371543
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89137-1543
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5785 S FORT APACHE RD
Second Line	:	SUITE A-100
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5659
Country	:	US
Telephone Number	:	702-822-2273
Fax Number	:	702-734-3278

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ZIA UDDIN KHAN
Credential	:	MD
Telephone Number	:	702-804-8859

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	11/10/2020

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Directions to “ZK ENTERPRISES, INC ” Practice Location

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