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NPI Code Detail

MEDICARE: DR. GEORGE A ZAVERDAS M.D.

MEDICARE:  DR. GEORGE A ZAVERDAS  M.D.
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
1207RC0000XCardiovascular Disease Physician036-063061IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00759207OTHERILRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295798742
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE A ZAVERDAS M.D.
Provider Business Mailing Address
First Line : 444 ROXBURY RD
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-5059
Country : US
Telephone Number : 815-398-3000
Fax Number : 815-391-5096
Provider Business Practice Location Address
First Line : 444 ROXBURY RD
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-5059
Country : US
Telephone Number : 815-398-3000
Fax Number : 815-391-5096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2006
Last Update Date : 02/22/2016

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Directions to “ DR. GEORGE A ZAVERDAS M.D.” Practice Location

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