Individual
MOHAMED Y ZEATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104
(815) 315-6102
(815) 315-6026
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32311
AZ
207RP1001X
Pulmonary Disease Physician
Primary
036-131070
IL
207RP1001X
Pulmonary Disease Physician
41054
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00454689
RAILROAD - MEDICARE
—
01
—
P01114425
RAILROAD PIN
IL
Enumeration date
04/21/2006
Last updated
02/18/2021
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