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NPI Code Detail

MEDICARE: DR. ZACHARY T. ROBERTS MD

MEDICARE:  DR. ZACHARY T. ROBERTS  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
12084N0400XNeurology PhysicianA188710CA
22084E0001XEpilepsy PhysicianA188710CA

General Provider Information

NPI Number : 1811423908
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZACHARY T. ROBERTS MD
Provider Business Mailing Address
First Line : 5575 W LAS POSITAS BLVD STE 330
Second Line : MAIL CODE 7976
City : PLEASANTON
State : CA
Zip : 94588-5804
Country : US
Telephone Number : 650-723-6469
Fax Number :
Provider Business Practice Location Address
First Line : 5575 W LAS POSITAS BLVD STE 330
Second Line :
City : PLEASANTON
State : CA
Zip : 94588-5804
Country : US
Telephone Number : 650-723-6469
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2017
Last Update Date : 10/06/2023

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Directions to “ DR. ZACHARY T. ROBERTS MD” Practice Location

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