Zaki A Ajans, MD

Individual provider Active NPI Psychiatry Physician · Mexico, MO

NPI 1174529648 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1174529648
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
33037 (MO)
Practice address
400 E Liberty St
Mexico, MO 65265-2850
Phone
(573) 582-1234
Fax
(573) 582-1212
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33037MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Central Missouri Behavioral Health Services, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 33037 MO Yes

Addresses

Primary practice location

400 E Liberty St
Mexico, MO 65265-2850

Mailing address

321 W Promenade St
Mexico, MO 65265-2719
Phone (573) 582-1234

Other providers in Mexico, MO

All providers in Mexico, MO · Psychiatry Physician in Missouri

Sources for this page

Verify at the official NPI Registry.