Individual
SHAMIQ ZACKRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 VAN NESS AVE, SAN FRANCISCO, CA 94109-6978
(415) 600-3548
(415) 558-7020
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(415) 600-3458
(415) 558-7020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A141301
CA
207RI0008X
Hepatology Physician
A141301
CA
208M00000X
Hospitalist Physician
Primary
A141301
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A141301
STATE MEDICAL LICENSE
CA
Enumeration date
04/10/2013
Last updated
02/27/2020
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