Healthcare Provider Details

I. General information

NPI: 1437357019
Provider Name (Legal Business Name): ZACHARIAH W CHAMBERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2007
Last Update Date: 04/21/2021
Certification Date: 04/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3281 N DECATUR BLVD STE 150
LAS VEGAS NV
89130-3264
US

IV. Provider business mailing address

3281 N DECATUR BLVD STE 150
LAS VEGAS NV
89130-3264
US

V. Phone/Fax

Practice location:
  • Phone: 702-463-1088
  • Fax: 702-463-0057
Mailing address:
  • Phone: 702-463-1088
  • Fax: 702-463-0057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LA0401X
TaxonomyAddiction Medicine (Anesthesiology) Physician
License Number61-0660
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number14638
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: