Healthcare Provider Details

I. General information

NPI: 1376574533
Provider Name (Legal Business Name): ZILMED, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 04/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6823 HIGHWAY 311
SELLERSBURG IN
47172-1801
US

IV. Provider business mailing address

6823 HIGHWAY 311
SELLERSBURG IN
47172-1801
US

V. Phone/Fax

Practice location:
  • Phone: 812-246-9809
  • Fax: 812-246-9826
Mailing address:
  • Phone: 812-246-9809
  • Fax: 812-246-9826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JAYESH T SHETH
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 812-246-9809