Provider Demographics
NPI:1427314061
Name:ZAKHARY, KRISTON DROUANT (MD)
Entity type:Individual
Prefix:
First Name:KRISTON
Middle Name:DROUANT
Last Name:ZAKHARY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KRISTON
Other - Middle Name:LEIGH
Other - Last Name:DROUANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19829 N 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4001
Mailing Address - Country:US
Mailing Address - Phone:623-879-5288
Mailing Address - Fax:623-879-1563
Practice Address - Street 1:19829 N 27TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027
Practice Address - Country:US
Practice Address - Phone:623-879-5288
Practice Address - Fax:623-879-1563
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL34379208M00000X, 207R00000X
AZ55750208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine