MEDICARE: MARIANNE ZAKARIAN, M.D., P.C.

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	261Q00000X	Clinic/Center	M8321	ID

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

General Provider Information

NPI Number	:	1750512877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARIANNE ZAKARIAN, M.D., P.C.

Provider Business Mailing Address
First Line	:	2536 N STOKESBERRY PL
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83646-1144
Country	:	US
Telephone Number	:	208-855-0880
Fax Number	:	208-855-0889

Provider Business Practice Location Address
First Line	:	2536 N STOKESBERRY PL
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83646-1144
Country	:	US
Telephone Number	:	208-855-0880
Fax Number	:	208-855-0889

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. JOANNE S HOFFMAN
Credential	:
Telephone Number	:	208-855-0880

Provider Enumeration Date	:	08/06/2009
Last Update Date	:	12/30/2009

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