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NPI Code Detail

MEDICARE: ZAKEYA MOHAMMED AL-SADAH MD

MEDICARE: ZAKEYA MOHAMMED AL-SADAH MD
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
1207WX0200XOphthalmic Plastic and Reconstructive Surgery PhysicianMFC1753FL

General Provider Information

NPI Number : 1205286218
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZAKEYA MOHAMMED AL-SADAH MD
Provider Business Mailing Address
First Line : 1638 NW 10TH AVE
Second Line : 114
City : MIAMI
State : FL
Zip : 33136-1015
Country : US
Telephone Number : 305-326-6031
Fax Number : 305-326-6306
Provider Business Practice Location Address
First Line : 900 NW 17TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33136-1119
Country : US
Telephone Number : 305-326-6031
Fax Number : 305-326-6306
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2016
Last Update Date : 06/21/2016

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