Individual
DR. WAHID ALFONSE RIAD ZAKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
905 FRANKLIN ST, WATERLOO, IA 50703-4407
(319) 272-4300
(319) 272-4411
Mailing address
905 FRANKLIN ST, WATERLOO, IA 50703-4407
(319) 874-3000
(319) 874-3411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37186
IA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
37186
IA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
4301089444
MI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
MT184001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076372
—
IA
Enumeration date
05/28/2007
Last updated
04/30/2018
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