Physician Compare National (NPI:1760471403)

HEALTHCARE PROVIDER: DONALD ZEDALIS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1760471403
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4486605250
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050210000059
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ZEDALIS
	Individual professional last name
Provider First Name	DONALD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	SLEEP MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ALLERGY/IMMUNOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ALLERGY/IMMUNOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	2955 MARKET ST
	Group Practice or individual's line 1 address
Line 2 Street Address	B1
	Group Practice or individual's line 2 address
City	CHRISTIANSBURG
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	240736575
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y