Dr. Khaleelur R Zackariya SR.
Internist Internist - Addiction Medicine
5215 Holycross Parkway
Mishiwaka
, Indiana 46545
Dr. Khaleelur R Zackariya SR.
Internist Internist - Addiction Medicine
5215 Holycross Parkway
Mishiwaka
, Indiana 46545
(574) 472-6262
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Khaleelur R Zackariya SR.
- 810 Park Pl
- Mishawaka, IN
- Zip : 46545-3520
- Fax : (574) 472-6262
- Phone : (574) 472-6901
Second Address
- Dr. Khaleelur R Zackariya SR.
- 5215 Holycross Parkway
- Mishiwaka, IN
- Zip : 46545
- Fax : (574) 472-6262
- Phone : (574) 237-7168
Reviews
FAQs
Where did Dr. Khaleelur R Zackariya SR. attend graduate school?
Where did Dr. Khaleelur R Zackariya SR. do his residency?
Where did Dr. Khaleelur R Zackariya SR. do his fellowship?
Is Dr. Khaleelur R Zackariya SR. board certified?
What type of doctor is Dr. Khaleelur R Zackariya SR.
In what state does Dr. Khaleelur R Zackariya SR. practice in?
Where is Dr. Khaleelur R Zackariya SR.’s practice located?
What is Dr. Khaleelur R Zackariya SR.’s gender?
Is Dr. Khaleelur R Zackariya SR. a sole practitioner?
Is Dr. Khaleelur R Zackariya SR. accepting new patients?
What languages does Dr. Khaleelur R Zackariya SR. speak?
Does Dr. Khaleelur R Zackariya SR. accept insurance?
Does Dr. Khaleelur R Zackariya SR. offers telemedicine?
What is Dr. Khaleelur R Zackariya SR.’s professional license number?
What is Dr. Khaleelur R Zackariya SR.’s NPI number?
Does Dr. Khaleelur R Zackariya SR. have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 036098582 | IL |
| N | 111NI0900X | Internist | 036098582 | IL |
| Y | 207RA0401X | Internist - Addiction Medicine | 01066056A | IN |
National Provider Identifier
| NPI | 1306854203 |
|---|---|
| Provider Name | Dr. Khaleelur R Zackariya SR. |
| First Address | Mishawaka, IN 46545-3520 |
| Second Address | Mishiwaka, IN 46545 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2006 |
| Last Update Date | 19/04/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200930470 | (05) | IN |
| H01012 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.