NPIMap

Organization Active NPI

Zak Medical Center PC

  • Internal Medicine Physician
  • Fort Mohave, AZ
National Provider Identifier
1780761809
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34691 Issued in AZ
Legal business name
ZAK MEDICAL CENTER PC
Practice address
5300 S Highway 95 Ste I
Suite I
Fort Mohave, AZ 86426-9251
Phone
(928) 788-1911
Fax
(928) 788-1920
NPI assigned
Nov 1, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Perwaiz Kahn, M.D.NPI 1043291388
Title
President
Phone
(928) 788-1911

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 34691 AZ Primary

Addresses

Primary practice location

5300 S Highway 95 Ste I
Suite I
Fort Mohave, AZ 86426-9251

Mailing address

PO Box 10290
Fort Mohave, AZ 86427-0290
Phone (928) 788-1911

Other identifiers 2

IdentifierTypeStateIssuer
999295MedicaidAZ
-1251773-9OtherAZCORPORATION NUMBER

National Provider Directory

National Provider Directory

Locations

5300 S Highway 95
Ste 1
Fort Mohave, AZ 86426
Phone (928) 788-1920

Practitioners & affiliated clinicians

Practitioners 2

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1780761809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10290",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864270290",
            "telephone_number": "928-788-1911",
            "fax_number": "928-788-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S HIGHWAY 95 STE I",
            "address_2": "SUITE I",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269251",
            "telephone_number": "928-788-1911",
            "fax_number": "928-788-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAK MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "PERWAIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-788-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "34691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999295",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION NUMBER",
            "identifier": "-1251773-9",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mohave, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.