Individual provider · NPI-1
Dr. Samir F Zaky
Podiatrist · Bethel, CT
NPI number1851392138
StatusActive
Last updated in NPPESOct 30, 2007
Details
- NPI
- 1851392138
- Entity type
- Individual (NPI-1)
- Name
- Dr. Samir F Zaky
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2005
- Last updated
- Oct 30, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 000749 | CT | Yes |
| 213ES0131X | 000749 | CT | ||
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | 000749 | CT | |
| 213EP0504X | Podiatrist, Public Medicine | 000749 | CT | |
| 213ER0200X | Podiatrist, Radiology | 000749 | CT | |
| 213ES0000X | Podiatrist, Sports Medicine | 000749 | CT |
Practice location
2a Topstone DrBethel, CT 06801-2624
Phone 203-942-9141
Mailing address
2a Topstone DrBethel, CT 06801-2624
Phone 203-942-9141
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