Individual
DR. SAMIR F ZAKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2A TOPSTONE DR, BETHEL, CT 06801-2624
(203) 942-9141
Mailing address
2A TOPSTONE DR, BETHEL, CT 06801-2624
(203) 942-9141
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000749
CT
213EP0504X
Public Medicine Podiatrist
000749
CT
213EP1101X
Primary Podiatric Medicine Podiatrist
000749
CT
213ER0200X
Radiology Podiatrist
000749
CT
213ES0000X
Sports Medicine Podiatrist
000749
CT
213ES0131X
Foot Surgery Podiatrist
000749
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030000749CT02
BC/BS AND BLUE CARE
CT
01
—
4702850001
DEMRC
CT
01
—
9577804
CIGNA
CT
01
—
P00058892
RAILROAD MEDICARE
CT
01
—
P2630726
OXFORD
CT
Enumeration date
08/09/2005
Last updated
10/30/2007
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