Lotus Urologic Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101053692 Issued in VA

Legal business name

LOTUS UROLOGIC GROUP

Practice address

105 Doctors Park
Galax, VA 24333-2277

Phone

(276) 236-5187

Fax

(276) 236-3015

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Kareem Zaki, M.D.

Title

President

Phone

(276) 236-5187

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1548329550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DOCTORS PARK",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332277",
            "telephone_number": "276-236-5187",
            "fax_number": "276-236-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DOCTORS PARK",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332277",
            "telephone_number": "276-236-5187",
            "fax_number": "276-236-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS UROLOGIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "ZAKI",
        "authorized_official_first_name": "KAREEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-236-5187",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101053692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DE0083",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902112",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010188491",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sterlyn E. Lineberry, LPN
• April Renee Linville
• Thomas Littrell, D.D.S.
• Melissa Sue Ann Londry
• Sabrina Lopez
• Grace Marie Lowe, CD
• Samuel Balana Luague, M.D.
• Daniel A. Mabus
• Mary Victoria Mackey, CNM
• Misty Dawn Marsh

• Specialist in Galax, VA
• Providers in Galax, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.