Healthcare Provider Details

I. General information

NPI: 1831382977
Provider Name (Legal Business Name): LISA M ZAKHARY MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT STREET MASSACHUSETTS GENERAL HOSPITAL
BOSTON MA
02114
US

IV. Provider business mailing address

55 FRUIT STREET MASSACHUSETTS GENERAL HOSPITAL
BOSTON MA
02114
US

V. Phone/Fax

Practice location:
  • Phone: 617-724-5600
  • Fax:
Mailing address:
  • Phone: 617-724-5600
  • Fax: 617-726-7541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number245138
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: