MEDICARE: LESLIE L ZAK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	5763	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	88-0246826	OTHER	NV	TAX IDENTIFICATION

General Provider Information

NPI Number	:	1023052529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE L ZAK M.D.

Provider Business Mailing Address
First Line	:	2851 N TENAYA WAY
Second Line	:	SUITE 208
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0435
Country	:	US
Telephone Number	:	702-228-0319
Fax Number	:	702-228-0380

Provider Business Practice Location Address
First Line	:	2851 N TENAYA WAY
Second Line	:	SUITE 208
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0435
Country	:	US
Telephone Number	:	702-228-0319
Fax Number	:	702-477-0254

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	03/07/2023

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Directions to “ LESLIE L ZAK M.D.” Practice Location

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