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Individual

MOHAMED RAGAB ZAKARYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1506 S ONEIDA ST STE 484, APPLETON, WI 54915-1305
(920) 223-2067
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020021400
MO
207R00000X
Internal Medicine Physician
Primary
23066
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100214277
WI
Enumeration date
05/11/2017
Last updated
10/21/2022
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