Provider Demographics
NPI:1700397437
Name:SULUKI, ZAKIYYAH (CERTIFIED HAIR LOSS)
Entity type:Individual
Prefix:MS
First Name:ZAKIYYAH
Middle Name:
Last Name:SULUKI
Suffix:
Gender:F
Credentials:CERTIFIED HAIR LOSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 E CATHEDRAL RD # 2232
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-2128
Mailing Address - Country:US
Mailing Address - Phone:610-400-4688
Mailing Address - Fax:828-383-9667
Practice Address - Street 1:751 VANDENBURG RD APT 1124
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1566
Practice Address - Country:US
Practice Address - Phone:610-400-4688
Practice Address - Fax:828-383-9667
Is Sole Proprietor?:No
Enumeration Date:2017-10-20
Last Update Date:2025-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACT020639L1744P3200X
PACT0206391744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management