Basic Information
Provider Information
NPI: 1407517584
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAQVI
FirstName: ZAKEE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2790 E SALEM AVE
Address2:  
City: FRESNO
State: CA
PostalCode: 937204969
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 127 HOSPITAL DR STE 101
Address2:  
City: VALLEJO
State: CA
PostalCode: 945892500
CountryCode: US
TelephoneNumber: 7075528795
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/31/2021
LastUpdateDate: 12/31/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/31/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225XH1200X23181CAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand

No ID Information.


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