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NPI Code Detail

MEDICARE: DR. STEVEN E ZACHOW MD

MEDICARE: DR. STEVEN E ZACHOW MD
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
12085R0001XRadiation Oncology Physician11463MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518969724
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN E ZACHOW MD
Provider Business Mailing Address
First Line : 970 LAKELAND DR
Second Line : SUITE 34
City : JACKSON
State : MS
Zip : 39216-4635
Country : US
Telephone Number : 601-376-2074
Fax Number :
Provider Business Practice Location Address
First Line : 1850 CHADWICK DR
Second Line :
City : JACKSON
State : MS
Zip : 39204-3404
Country : US
Telephone Number : 601-376-2074
Fax Number : 601-376-2875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 02/13/2023

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Directions to “ DR. STEVEN E ZACHOW MD” Practice Location

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