Provider Demographics
NPI:1447269824
Name:ZAKARIA, MUHAMMAD (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:
Last Name:ZAKARIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 OAK ST
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2647
Mailing Address - Country:US
Mailing Address - Phone:917-627-6677
Mailing Address - Fax:917-423-0410
Practice Address - Street 1:21 RYDER PL
Practice Address - Street 2:
Practice Address - City:EAST ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11518-1200
Practice Address - Country:US
Practice Address - Phone:516-399-2225
Practice Address - Fax:516-399-2227
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY197646207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01530336Medicaid
NY01530336Medicaid
03M931Medicare PIN
03M931Medicare PIN