Healthcare Provider Details

I. General information

NPI: 1780324715
Provider Name (Legal Business Name): DANIEL ZARRATE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 LEITER RD
MIAMISBURG OH
45342-3600
US

IV. Provider business mailing address

2115 LEITER RD
MIAMISBURG OH
45342-3600
US

V. Phone/Fax

Practice location:
  • Phone: 937-384-6800
  • Fax: 937-384-6938
Mailing address:
  • Phone: 937-384-6800
  • Fax: 937-384-6938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.152421
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberTLL-2025-003
License Number StateGU
# 4
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35.152421
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: