Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rezeda Y. Zinyatullova, PA-C

Individual provider Physician Assistant · NPI 1205558129

Rezeda Y. Zinyatullova, PA-C is a Physician Assistant in Portland, Maine. Qualified in 2022, 4 years ago. Practices with Convenientmd - Ffs Uc LLC, a 395-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
4
Licensed in
ME
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

84 Marginal Way Ste 700
Portland, ME 04101-2481
Phone: (207) 774-5816
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 506 Main St, Saco, ME 04072-1530 — (207) 571-7991

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2422 (ME)

Record details

NPI number1205558129
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 16, 2022
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Convenientmd - Ffs Uc Llc — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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