MEDICARE: GIUSEPPE ZAVADZKAS 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
1	207Q00000X	Family Medicine Physician	14629	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	30924	OTHER	NE	BCBS
4	9232	OTHER	NE	MIDLANDS CHOICE

General Provider Information

NPI Number	:	1336160001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIUSEPPE ZAVADZKAS MD

Provider Business Mailing Address
First Line	:	2282 E 32ND AVE
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-7233
Country	:	US
Telephone Number	:	402-563-9224
Fax Number	:

Provider Business Practice Location Address
First Line	:	2282 E 32ND AVE
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-7233
Country	:	US
Telephone Number	:	402-563-9224
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	05/21/2008

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