Healthcare Provider Details

I. General information

NPI: 1497796809
Provider Name (Legal Business Name): WILLIAM ZATO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 08/18/2020
Certification Date: 08/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7805 TAFT ST STE E
MERRILLVILLE IN
46410-5237
US

IV. Provider business mailing address

7805 TAFT ST STE E
MERRILLVILLE IN
46410-5237
US

V. Phone/Fax

Practice location:
  • Phone: 219-230-4667
  • Fax: 219-756-3793
Mailing address:
  • Phone: 219-756-3791
  • Fax: 219-365-8291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number02000629A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: