Organization Active NPI

Zak Medical Group PA

  • Internal Medicine Physician
  • Shenandoah, TX
National Provider Identifier
1427464833
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P1340 Issued in TX
Legal business name
ZAK MEDICAL GROUP PA
Practice address
150 Pine Forest Drive
Suite 204
Shenandoah, TX 77384
Phone
(516) 547-3714
NPI assigned
Jul 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Farhat Khan, MDNPI 1104097484
Title
Vice President
Phone
(516) 547-3714

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X P1340 TX Primary

Addresses

Primary practice location

150 Pine Forest Drive
Suite 204
Shenandoah, TX 77384

Mailing address

PO Box 1048
Conroe, TX 77305-1048
Phone (516) 547-3714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150120000218 TX Part B Supplier - Clinic/Group Practice 3173847225 Receives reassigned benefits from 2 practitioners
Practice locations: Conroe, TX; Shenandoah, TX

National Provider Directory

National Provider Directory

Locations

100 Commercial Cir
Conroe, TX 77304
Phone (832) 299-4802

504 Medical Center Blvd
#204
Conroe, TX 77304

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1427464833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1048",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773051048",
            "telephone_number": "516-547-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DRIVE",
            "address_2": "SUITE 204",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "77384",
            "telephone_number": "516-547-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAK MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FARHAT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "516-547-3714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.