Healthcare Provider Details

I. General information

NPI: 1053738419
Provider Name (Legal Business Name): ZACHARY SENDERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2014
Last Update Date: 10/31/2023
Certification Date: 10/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 PLAZA DR STE 140
ROSTRAVER TWP PA
15012-4019
US

IV. Provider business mailing address

800 PLAZA DR STE 140
ROSTRAVER TWP PA
15012-4019
US

V. Phone/Fax

Practice location:
  • Phone: 724-929-4122
  • Fax:
Mailing address:
  • Phone: 724-929-4122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number55116
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberMD481151
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: