Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KHALEELUR R ZACKARIYA SR., MD
ActiveDR. KHALEELUR R ZACKARIYA SR., MD is a Addiction Medicine (Internal Medicine) healthcare provider located in MISHIWAKA, Indiana. NPI 1306854203 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Internal Medicine) · MISHIWAKA, IN
Registration Details
- NPI Number
- 1306854203
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2006 (20.063828085645 yrs)
- Last Updated
- Oct 30, 2024
- Licenses
-
01066056A (IN)01066056A (IN)036098582 (IL)
Practice Information
- Address
-
5215 HOLYCROSS PARKWAYMISHIWAKA, IN, 46545Browse IN providers · Browse ZIP 46545
- Phone
- 5742377168
- Fax
- 5744726262
- Primary Specialty
-
Addiction Medicine (Internal Medicine)
207RA0401X
- Additional Specialty
- Addiction Medicine (Internal Medicine)
- Additional Specialty
- Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.