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NPI Code Detail

MEDICARE: BENJAMIN ZACHARIAH

MEDICARE:   BENJAMIN  ZACHARIAH
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1982347217
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN ZACHARIAH
Provider Business Mailing Address
First Line : 3538 KEPUHI ST
Second Line :
City : HONOLULU
State : HI
Zip : 96815-4366
Country : US
Telephone Number : 209-627-7400
Fax Number :
Provider Business Practice Location Address
First Line : 3538 KEPUHI ST
Second Line :
City : HONOLULU
State : HI
Zip : 96815-4366
Country : US
Telephone Number : 209-627-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2022
Last Update Date : 04/14/2022

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Directions to “ BENJAMIN ZACHARIAH ” Practice Location

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