Provider Demographics
NPI:1689460982
Name:EL-FANEK, ZAID
Entity type:Individual
Prefix:
First Name:ZAID
Middle Name:
Last Name:EL-FANEK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 LIBERTY STREET
Mailing Address - Street 2:GRADUATE MEDICAL EDUCATION
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-2591
Mailing Address - Country:US
Mailing Address - Phone:814-333-5461
Mailing Address - Fax:814-333-5025
Practice Address - Street 1:640 ALDEN ST
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-2348
Practice Address - Country:US
Practice Address - Phone:814-807-1660
Practice Address - Fax:814-373-5259
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program