Provider Demographics
NPI:1053339465
Name:BELL, ZAKIA DIANE ANTHANETTE (MD)
Entity type:Individual
Prefix:DR
First Name:ZAKIA
Middle Name:DIANE ANTHANETTE
Last Name:BELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4000 COLISEUM DR STE 200
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-5975
Mailing Address - Country:US
Mailing Address - Phone:757-736-8050
Mailing Address - Fax:757-736-8080
Practice Address - Street 1:4000 COLISEUM DR STE 200
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-5975
Practice Address - Country:US
Practice Address - Phone:757-736-8050
Practice Address - Fax:757-736-8080
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT637492084N0400X
VA01010384552084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006100783Medicaid
VAB06961Medicare UPIN
VA006100783Medicaid