Doctor Name: | ZAID KASMIKHA |
NPI Number: | 1083902761 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | L2016112 |
Business Practice Address: | 4967 Crooks Rd Suite 130 Troy, MI - 480985801 |
Business Phone Number: | 2489521601 |
Business Fax Number: | 2489520192 |
Mailing Address: | 4967 Crooks Rd, Suite 130 TROY |
State: | MI |
Postal Code: | 480985801 |
Phone Number: | 2489521601 |
Fax Number: | 2489520192 |
NPI Enumeration Date: | 07/15/2011 |
NPI Last Update Date: | 04/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | L2016112 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |