MEDICARE: ZAKIA S MOHAMED DDS

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	122300000X	Dentist	29666	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427247055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAKIA S MOHAMED DDS

Provider Business Mailing Address
First Line	:	3465 NATIONAL DR STE 315
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-1095
Country	:	US
Telephone Number	:	972-668-4696
Fax Number	:	972-408-4157

Provider Business Practice Location Address
First Line	:	3465 NATIONAL DR STE 315
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-1095
Country	:	US
Telephone Number	:	972-668-4696
Fax Number	:	972-408-4157

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2007
Last Update Date	:	06/13/2024

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Directions to “ ZAKIA S MOHAMED DDS” Practice Location

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