Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 036111288 | IL |
Y | 2086S0129X | Vascular Surgeon | C51028 | CA |
NPI | 1154317683 |
---|---|
Provider Name | Aamir M Zakaria |
First Address | Spearfish, SD 57783-1148 |
Second Address | Oakland, CA 94611-5730 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2005 |
Last Update Date | 27/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F95678 | (02) |