Healthcare Provider Details

I. General information

NPI: 1669047528
Provider Name (Legal Business Name): ZACHARY BARBATI MD, MMSC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2021
Last Update Date: 05/24/2021
Certification Date: 05/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 4TH ST
SAN FRANCISCO CA
94143-2350
US

IV. Provider business mailing address

3389 WASHINGTON ST APT 208
JAMAICA PLAIN MA
02130-2795
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-7359
  • Fax:
Mailing address:
  • Phone: 646-627-1381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: