Provider Demographics
NPI:1881568590
Name:MOHAMED, ZAKARIYA
Entity type:Individual
Prefix:
First Name:ZAKARIYA
Middle Name:
Last Name:MOHAMED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8464 W FOREST GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:TOLLESON
Mailing Address - State:AZ
Mailing Address - Zip Code:85353-3631
Mailing Address - Country:US
Mailing Address - Phone:520-248-7487
Mailing Address - Fax:
Practice Address - Street 1:8464 W FOREST GROVE AVE
Practice Address - Street 2:
Practice Address - City:TOLLESON
Practice Address - State:AZ
Practice Address - Zip Code:85353-3631
Practice Address - Country:US
Practice Address - Phone:520-248-7487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator