MEDICARE: DR. MICHAEL JAY ZAPOR MD, PHD

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	207RI0200X	Infectious Disease Physician	K8704	TX

General Provider Information

NPI Number	:	1932182151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JAY ZAPOR MD, PHD

Provider Business Mailing Address
First Line	:	17807 BROMFIELD PL
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20874-2292
Country	:	US
Telephone Number	:	301-972-9095
Fax Number	:	202-782-3765

Provider Business Practice Location Address
First Line	:	DEPT OF MEDICINE, WALTER REED ARMY MED CTR
Second Line	:	6900 GEORGIA AVE
City	:	WASHINGTON
State	:	DC
Zip	:	20307-0001
Country	:	US
Telephone Number	:	202-782-1663
Fax Number	:	202-782-3765

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

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	07/08/2007

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