Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 85584 | GA |
NPI | 1063806446 |
---|---|
Provider Name | Yusha Zakai |
First Address | Smyrna, GA 30080-6442 |
Second Address | Smyrna, GA 30080-6442 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2015 |
Last Update Date | 26/01/2022 |