Provider Demographics
NPI:1184037046
Name:ZAKARIA, ARWA WAEL (DO)
Entity type:Individual
Prefix:
First Name:ARWA
Middle Name:WAEL
Last Name:ZAKARIA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9481 PITTSBURGH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-9021
Mailing Address - Country:US
Mailing Address - Phone:909-355-0300
Mailing Address - Fax:
Practice Address - Street 1:9481 PITTSBURGH AVE STE 200
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-9021
Practice Address - Country:US
Practice Address - Phone:909-655-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-09
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3581208M00000X, 207R00000X
CA20A23400207RG0100X
SCLL36695207R00000X
SC36695207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine