Individual
DR. ZIA SHAZAD BARKATULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3611 S REED RD, SUITE 104, KOKOMO, IN 46902-3828
(765) 453-5892
(765) 453-8262
Mailing address
3611 S REED RD, SUITE 104, KOKOMO, IN 46902-3828
(765) 453-5892
(765) 453-8262
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000992A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200508130A
—
IN
01
—
371059
ANTHEM
IN
01
—
P00195726
RAILROAD / TRAVELERS
IN
Enumeration date
11/30/2005
Last updated
07/08/2007
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