Basic Information
Provider Information
NPI: 1750731030
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAKRI
FirstName: DALIA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8220 S SAGINAW ST STE 800
Address2:  
City: GRAND BLANC
State: MI
PostalCode: 484391890
CountryCode: US
TelephoneNumber: 8139162347
FaxNumber: 8139162944
Practice Location
Address1: 8220 S SAGINAW ST STE 800
Address2:  
City: GRAND BLANC
State: MI
PostalCode: 484391890
CountryCode: US
TelephoneNumber: 8139162347
FaxNumber: 8139162944
Other Information
ProviderEnumerationDate: 06/16/2016
LastUpdateDate: 05/06/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/06/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X4301119395MIN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0200X4301119395MIN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207R00000XTRN 23674FLN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RP1001X4301119395MIY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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