Healthcare Provider Details

I. General information

NPI: 1609437516
Provider Name (Legal Business Name): NEOPHYTOS COSTAS ZAMBAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2019
Last Update Date: 09/20/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 WARREN ST STE 300
REDWOOD CITY CA
94063-1536
US

IV. Provider business mailing address

401 WARREN ST STE 300
REDWOOD CITY CA
94063-1536
US

V. Phone/Fax

Practice location:
  • Phone: 240-693-3281
  • Fax: 207-881-4056
Mailing address:
  • Phone: 240-693-3281
  • Fax: 207-881-4056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA11518700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: