Individual
ZAKIYA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 FAME AVE STE 202, HANOVER, PA 17331
(717) 632-9263
(717) 646-7439
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
(717) 632-9263
(717) 646-7439
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01081097A
IN
207RP1001X
Pulmonary Disease Physician
Primary
MD455580
PA
390200000X
Student in an Organized Health Care Education/Training Program
31824
AL
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
02/01/2011
Last updated
09/28/2023
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