Healthcare Provider Details

I. General information

NPI: 1851376297
Provider Name (Legal Business Name): ZENOWIJ MAJUK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2005
Last Update Date: 04/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 SOQUEL DR SUITE 12
SANTA CRUZ CA
95065-1716
US

IV. Provider business mailing address

1505 SOQUEL DR SUITE 12
SANTA CRUZ CA
95065-1716
US

V. Phone/Fax

Practice location:
  • Phone: 831-713-5050
  • Fax: 831-475-0101
Mailing address:
  • Phone: 831-713-5050
  • Fax: 831-475-0101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberG63264
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: