Provider Demographics
NPI:1770443566
Name:AKOL, ZAHKARIA GARANG
Entity type:Individual
Prefix:
First Name:ZAHKARIA
Middle Name:GARANG
Last Name:AKOL
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 1:2915 N COLE RD # 102
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-5917
Mailing Address - Country:US
Mailing Address - Phone:208-747-5333
Mailing Address - Fax:
Practice Address - Street 1:2915 N COLE RD # 102
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-5917
Practice Address - Country:US
Practice Address - Phone:208-747-5333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-13
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner