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NPI Code Detail

MEDICARE: DR. EMAD M. ZAKHARY M.D.

MEDICARE: DR. EMAD M. ZAKHARY M.D.
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
12086S0129XVascular Surgery Physician2010032316MO
22086S0129XVascular Surgery PhysicianMD422072PA

Other Identifiers

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

General Provider Information

NPI Number : 1558314864
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMAD M. ZAKHARY M.D.
Provider Business Mailing Address
First Line : SLU ACADEMIC PAVILION
Second Line : 1008 SOUTH SPRING AVE.
City : ST. LOUIS
State : MO
Zip : 63110-3034
Country : US
Telephone Number : 314-977-4440
Fax Number : 314-977-1642
Provider Business Practice Location Address
First Line : 1008 S SPRING AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-2520
Country : US
Telephone Number : 570-271-6369
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 09/16/2025

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