Healthcare Provider Details

I. General information

NPI: 1346737012
Provider Name (Legal Business Name): KATERINA ALYSE ZAPPAS-LEVY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATERINA ALYSE ZAPPAS

II. Dates (important events)

Enumeration Date: 04/18/2018
Last Update Date: 10/25/2022
Certification Date: 10/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 BON AIR RD
GREENBRAE CA
94904-1702
US

IV. Provider business mailing address

250 BON AIR RD
GREENBRAE CA
94904-1702
US

V. Phone/Fax

Practice location:
  • Phone: 415-925-7591
  • Fax: 415-925-7604
Mailing address:
  • Phone: 415-925-7591
  • Fax: 415-925-7604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA174192
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: