Individual
SAFOORA ZAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 S KITSAP BLVD, SUITE 2860, PORT ORCHARD, WA 98366-3773
(360) 782-3000
Mailing address
2512 WHEATON WAY, BREMERTON, WA 98310-3399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00046807
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211617
LABOR & INDUSTRIES
WA
01
—
7573855
AETNA
—
05
—
8459091
—
WA
01
—
8918AZ
REGENCE BLUE SHIELD
WA
Enumeration date
07/25/2006
Last updated
09/28/2007
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