Provider Demographics
NPI:1447291893
Name:ZAKHARY, SAMMY A (MD)
Entity type:Individual
Prefix:
First Name:SAMMY
Middle Name:A
Last Name:ZAKHARY
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 1:6591 W THUNDERBIRD RD STE D1
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-3720
Mailing Address - Country:US
Mailing Address - Phone:623-258-3255
Mailing Address - Fax:623-478-2215
Practice Address - Street 1:6591 W THUNDERBIRD RD STE D1
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-3720
Practice Address - Country:US
Practice Address - Phone:623-258-3255
Practice Address - Fax:623-478-2215
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM59882086S0129X
PAMD4228602086S0129X
AZ405832086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ355317Medicaid
TX8J4493Medicare PIN