MEDICARE: DR. ANZHELIKA VLADI ZAKHAROVA 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	207Q00000X	Family Medicine Physician	MD435945	PA

General Provider Information

NPI Number	:	1821217837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANZHELIKA VLADI ZAKHAROVA M.D.

Provider Business Mailing Address
First Line	:	1101 MARKET ST FL 19
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-2926
Country	:	US
Telephone Number	:	215-481-6836
Fax Number	:	215-481-5788

Provider Business Practice Location Address
First Line	:	10160 BUSTLETON AVE STE B-C
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19116-3749
Country	:	US
Telephone Number	:	215-677-0505
Fax Number	:	215-673-0409

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

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	12/18/2025

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