Healthcare Provider Details
I. General information
NPI: 1952760191
Provider Name (Legal Business Name): ZMD ANESTHESIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/16/2016
Last Update Date: 02/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7878 N 16TH ST SUITE 250
PHOENIX AZ
85020-4449
US
IV. Provider business mailing address
4348 WAIALAE AVE NUMBER 261
HONOLULU HI
96816-5767
US
V. Phone/Fax
- Phone: 602-395-0718
- Fax: 602-277-8146
- Phone: 808-375-9586
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 12508 |
| License Number State | HI |
VIII. Authorized Official
Name:
ZOLTAN
J
SZATHMARY
Title or Position: SOLE MEMBER
Credential: M.D.
Phone: 808-375-9586