Riad Zaky, Wahid Alfonse

Riad Zaky, Wahid Alfonse is an individual health care provider with primary practice located at 905 Franklin St , Waterloo IA 50703-4407. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Riad Zaky, Wahid Alfonse can be contacted via phone (319) 272-4300.

Contact Information

Primary practice address
905 Franklin St Waterloo IA 50703-4407
Phone: (319) 272-4300
Fax: (319) 272-4411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 4301089444 Michigan
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 37186 Iowa
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X MT184001 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37186 Iowa

Profile Details

NPI number 1467663674
LBN Legal business name Riad Zaky, Wahid Alfonse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2007
Last updated Apr 30th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467663674 NPPES
Iowa MEDICAID 0076372

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