Provider Demographics
NPI:1437881893
Name:ALAKOLI, ZAYNAB
Entity type:Individual
Prefix:
First Name:ZAYNAB
Middle Name:
Last Name:ALAKOLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5851 MERCURY DR
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-4161
Mailing Address - Country:US
Mailing Address - Phone:313-271-4296
Mailing Address - Fax:313-271-4713
Practice Address - Street 1:5851 MERCURY DR
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-4161
Practice Address - Country:US
Practice Address - Phone:313-271-4296
Practice Address - Fax:313-271-4713
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-25
Last Update Date:2022-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician