Provider Demographics
NPI:1285133090
Name:ZAIMA, MAKANI SANOE (CHA)
Entity type:Individual
Prefix:
First Name:MAKANI
Middle Name:SANOE
Last Name:ZAIMA
Suffix:
Gender:F
Credentials:CHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3380 C ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-3949
Mailing Address - Country:US
Mailing Address - Phone:907-277-1440
Mailing Address - Fax:907-277-1446
Practice Address - Street 1:2105 MAIN ST
Practice Address - Street 2:
Practice Address - City:ADAK
Practice Address - State:AK
Practice Address - Zip Code:99546
Practice Address - Country:US
Practice Address - Phone:907-592-8383
Practice Address - Fax:907-592-4287
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker