Provider Demographics
NPI:1487774303
Name:ZAGGOUT, IHAB ZAKI (MD)
Entity type:Individual
Prefix:DR
First Name:IHAB
Middle Name:ZAKI
Last Name:ZAGGOUT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 26970
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31221-6970
Mailing Address - Country:US
Mailing Address - Phone:478-254-7353
Mailing Address - Fax:478-254-7350
Practice Address - Street 1:657 HEMLOCK ST
Practice Address - Street 2:SUITE 200
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-8329
Practice Address - Country:US
Practice Address - Phone:478-254-7353
Practice Address - Fax:478-254-7350
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA057033207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology