Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 43824 | AZ |
NPI | 1528371218 |
---|---|
Provider Name | Emad L Zaki |
First Address | Phoenix, AZ 85072-2696 |
Second Address | Scottsdale, AZ 85258-4510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2010 |
Last Update Date | 30/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
564432 | (05) | AZ |