MEDICARE: DR. AKRAM A ZALATIMO 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
1	207V00000X	Obstetrics & Gynecology Physician	MD-038606-L	PA

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

General Provider Information

NPI Number	:	1437144839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AKRAM A ZALATIMO M.D.

Provider Business Mailing Address
First Line	:	545 N RIVER ST
Second Line	:	SUITE 110
City	:	WILKES BARRE
State	:	PA
Zip	:	18702-2600
Country	:	US
Telephone Number	:	570-270-7600
Fax Number	:	570-270-7602

Provider Business Practice Location Address
First Line	:	545 N RIVER ST
Second Line	:	SUITE 110
City	:	WILKES BARRE
State	:	PA
Zip	:	18702-2600
Country	:	US
Telephone Number	:	570-270-7600
Fax Number	:	570-270-7602

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

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	07/08/2007

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