Provider Demographics
NPI:1972957983
Name:HINDI, ZAKARIA
Entity type:Individual
Prefix:
First Name:ZAKARIA
Middle Name:
Last Name:HINDI
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 1:3413 TELFORD DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62711-9318
Mailing Address - Country:US
Mailing Address - Phone:432-214-6366
Mailing Address - Fax:
Practice Address - Street 1:3401 CONIFER DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62711-8300
Practice Address - Country:US
Practice Address - Phone:217-726-0967
Practice Address - Fax:217-726-7633
Is Sole Proprietor?:No
Enumeration Date:2016-04-15
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.171373207R00000X
IL036171373207RC0200X
390200000X
PAMT219139207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program