Khaleelur Zackariya, MD

Individual Active
NPI 1306854203
Addiction Medicine (Internal Medicine) Physician Mishiwaka, IN

Khaleelur Zackariya, MD holds NPI 1306854203, with a primary taxonomy of addiction medicine (internal medicine) physician and a practice location in Mishiwaka, IN. The number was issued on August 4, 2006 and the NPPES record was last updated on October 30, 2024. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Addiction Medicine (Internal Medicine) Physician Primary 207RA0401X 01066056A (IN)
Hospitalist Physician 208M00000X 01066056A (IN)
Internal Medicine Physician 207R00000X 036098582 (IL)

Practice location

5215 Holycross Parkway
Mishiwaka, IN 46545
Phone: (574) 237-7168

Local context

Active NPPES records list 1 provider with addiction medicine (internal medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 11 in Indiana and 1,047 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Other providers at this address

Providers whose NPPES practice location has the same street address, listing those with a page here.

Record history

Name on record
Dr. Khaleelur R Zackariya Sr.
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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