MEDICARE: SARETTE C ZAWADSKY

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	207R00000X	Internal Medicine Physician	01026407A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000223466	OTHER		ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548265317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARETTE C ZAWADSKY

Provider Business Mailing Address
First Line	:	4022 MOREHOUSE RD
Second Line	:
City	:	WEST LAFAYETTE
State	:	IN
Zip	:	47906-5411
Country	:	US
Telephone Number	:	765-463-7584
Fax Number	:	765-463-2029

Provider Business Practice Location Address
First Line	:	4022 MOREHOUSE RD
Second Line	:
City	:	WEST LAFAYETTE
State	:	IN
Zip	:	47906-5411
Country	:	US
Telephone Number	:	765-463-7584
Fax Number	:	765-463-2029

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	06/11/2008

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Directions to “ SARETTE C ZAWADSKY ” Practice Location

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