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NPI Code Detail

MEDICARE: DR. SAUL B ZELAN MD

MEDICARE: DR. SAUL B ZELAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician15385NV
22084P0800XPsychiatry PhysicianMD16414RI
32084P0804XChild & Adolescent Psychiatry PhysicianA65076CA
42084P0804XChild & Adolescent Psychiatry Physician15385NV
52084P0800XPsychiatry PhysicianA65076CA

General Provider Information

NPI Number : 1134230485
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAUL B ZELAN MD
Provider Business Mailing Address
First Line : 3705 BRIGHTON WAY
Second Line :
City : RENO
State : NV
Zip : 89509-6800
Country : US
Telephone Number : 510-414-4620
Fax Number : 401-444-6912
Provider Business Practice Location Address
First Line : 7707 AUSTIN RD
Second Line :
City : STOCKTON
State : CA
Zip : 95215-8312
Country : US
Telephone Number : 510-414-4620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 05/23/2019

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