Provider Demographics
NPI:1215165840
Name:ZAKI, SHEHAB (MD)
Entity type:Individual
Prefix:DR
First Name:SHEHAB
Middle Name:
Last Name:ZAKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 CHRISTINE CT
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-3402
Mailing Address - Country:US
Mailing Address - Phone:315-724-7505
Mailing Address - Fax:315-724-7505
Practice Address - Street 1:13 CHRISTINE CT
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-3402
Practice Address - Country:US
Practice Address - Phone:315-724-7505
Practice Address - Fax:315-724-7505
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY199678174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist