Zaza, Ali S
Zaza, Ali S is an individual health care provider with primary practice located at 4200 W Memorial Rd Suite 303, Oklahoma City OK 73120-9350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Zaza, Ali S can be contacted via phone (405) 936-9966.Contact Information
Primary practice address
4200 W Memorial Rd Suite 303
Oklahoma City OK 73120-9350
Phone: (405) 936-9966
Fax: (405) 756-3341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 20964 | Oklahoma |
Profile Details
| NPI number | 1376522789 |
|---|---|
| LBN Legal business name | Zaza, Ali S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Apr 15th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376522789 | NPPES |
| Oklahoma | MEDICAID | 100061900A |
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