Individual
ZAKA UDDIN VERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7215 55TH STREET, SACRAMENTO, CA 95823-2601
(916) 399-1100
(877) 860-2397
Mailing address
200 OCEANGATE, SUITE 100, LONG BEACH, CA 90802-4302
(916) 399-1100
(877) 860-2397
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A25256
CA
207RC0000X
Cardiovascular Disease Physician
AFE25256
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669646170
MEDI-CAL
CA
05
—
1669646170
—
CA
01
—
P01222618/ DS9933
RAILROAD MEDICARE-CITRUS HEIGHTS, 55TH ST.
CA
Enumeration date
04/15/2008
Last updated
04/15/2015
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