Basic Information
Provider Information
NPI: 1003299843
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AMMARI
FirstName: ZAID
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: M.D. M.P.H.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3000 ARLINGTON AVE # MS 1050
Address2: GRADUATE MEDICAL EDUCATION
City: TOLEDO
State: OH
PostalCode: 436142595
CountryCode: US
TelephoneNumber: 4193833627
FaxNumber: 4193836180
Practice Location
Address1: 5501 OLD YORK RD STE 1
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 19141
CountryCode: US
TelephoneNumber: 2154563930
FaxNumber: 2154561432
Other Information
ProviderEnumerationDate: 06/29/2015
LastUpdateDate: 06/15/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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