Provider Demographics
NPI:1972325900
Name:WADID ZAKY, M.D., LLC
Entity type:Organization
Organization Name:WADID ZAKY, M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WADID
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAKY SALAMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-616-6006
Mailing Address - Street 1:10231 OLD OCEAN CITY BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-3568
Mailing Address - Country:US
Mailing Address - Phone:240-616-6006
Mailing Address - Fax:
Practice Address - Street 1:10231 OLD OCEAN CITY BLVD STE 208
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-3568
Practice Address - Country:US
Practice Address - Phone:240-616-6006
Practice Address - Fax:240-616-2828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty