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NPI Code Detail

MEDICARE: TIMOTHY GERALD ZELENAK M.D.

MEDICARE: TIMOTHY GERALD ZELENAK 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
12085R0202XDiagnostic Radiology PhysicianME112739FL
22085R0202XDiagnostic Radiology PhysicianMD446076PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376746461
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY GERALD ZELENAK M.D.
Provider Business Mailing Address
First Line : 619 19TH ST S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35249-1900
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 155 WILSON AVE
Second Line :
City : WASHINGTON
State : PA
Zip : 15301-3336
Country : US
Telephone Number : 724-225-7000
Fax Number : 724-229-2018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2007
Last Update Date : 04/09/2026

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