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Individual

DR. KHALEELUR R ZACKARIYA SR.

Active
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Individual

DR. KHALEELUR R ZACKARIYA SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036098582
IL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
01066056A
IN
208M00000X
Hospitalist Physician
01066056A
IN

Other

Enumeration date
08/04/2006
Last updated
10/30/2024
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