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Tariq Wael Zakaria

Internal Medicine

Allopathic & Osteopathic Physicians

1500 Oglethorpe Ave Ste 200d, Athens, GA 30606-2165

PECOS Enrollment

This provider is enrolled in PECOS as TARIQ ZAKARIA.

Based on the most recent information from CMS, provider Tariq Wael Zakaria is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 20 days ago.

Profile Details

Provider ID
1841931938
Provider Type
Individual
Full Name
Zakaria, Tariq Wael
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
4/5/2022
Last Updated
8/4/2022

Contact Information

Practice Location

1500 Oglethorpe Ave Ste 200d, Athens, GA 30606-2165

(706) 389-3875

(706) 389-3876

Mailing Location

1230 Baxter St, Athens, GA 30606-3712

(706) 389-3860

(706) 389-3861

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 13708 Georgia
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Tariq Wael Zakaria

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Yunyongying, Pete

Olatunji, Grace Oluwaseyi

Bashir, Muhammad H

Athens Internal Medicine Pc

Primedoc Of Athens Inc

Nelson, Michael E

Ward, Lela Anne Laseter

Armstrong, Phillip

Watson, Stephanie Nguyen

Phanthok, Tenzing