MEDICARE: ZACHARY ZUSE DUBIT 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	208000000X	Pediatrics Physician	0101285255	VA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207R00000X	Internal Medicine Physician	0101285255	VA

General Provider Information

NPI Number	:	1588244834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY ZUSE DUBIT MD

Provider Business Mailing Address
First Line	:	650 N LEE HWY APT 2
Second Line	:
City	:	LEXINGTON
State	:	VA
Zip	:	24450-3759
Country	:	US
Telephone Number	:	540-570-5078
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 N LEE HWY APT 2
Second Line	:
City	:	LEXINGTON
State	:	VA
Zip	:	24450-3759
Country	:	US
Telephone Number	:	540-463-0951
Fax Number	:

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

Provider Enumeration Date	:	04/12/2021
Last Update Date	:	05/28/2025

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