P Praxis·MD
● Active Type 1 · Individual

DR. Khadijeh S. Zarkoob, M.D.

Radiology·Lewiston, ID· NPI 1295705630 · Enumerated 2006 · 20 years on NPI
Zarkoob is 1 of 1 radiology providers in Lewiston and 1 of 3 in Idaho.
NPI age
20 years
Enumerated 2006-01-26
Primary specialty
Radiology
Plus 3 subspecialties
Licensed in
OH, MD, KY, ID
4 states
Status
Active
No deactivations on record
Last NPPES update
2024-10-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3 active radiology providers in Idaho.

NPI age
20 years
≈ at median (20 yr)
State licenses
4 states
Top 33% — 66% of peers are multi-state
Subspecialties
1
In the 66% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
504 6th St
Lewiston, ID 835012439
📞 2087995600
Mailing address
11919 Park Heights Ave
Owings Mills, MD 21117
📞 4103039111fax 4103564980

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
11919 Park Heights Ave
Owings Mills, MD 211171517
📞 4103039111fax 4103564980
Location 3
524 W High St
Bryan, OH 435061618
📞 4196369800fax 4196360451

Specialties

  • Radiology Primary
    Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
    OH license #35C.000242 taxonomy 2085R0203X
  • Radiology
    A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
    MD license #DOO63905KY license #51193ID license #MC-0720 taxonomy 2085R0001X

Identifiers

TypeValueNotes
01 (MD) 1295705630 NPI
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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