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NPI Code Detail

MEDICARE: DR. ALEXANDER ZILBERMAN M.D.

MEDICARE: DR. ALEXANDER ZILBERMAN 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
1208600000XSurgery Physician31136AZ
2174400000XSpecialist31136AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3020054732OTHERAZRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AZ0728500OTHERAZAZ BC/BS PROVIDER NUMBER
2AZ0735650OTHERAZCHAMPUS TRICARE NUMBER
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871591503
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXANDER ZILBERMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 8
Second Line :
City : LAKE HAVASU CITY
State : AZ
Zip : 86405-0008
Country : US
Telephone Number : 928-854-6500
Fax Number : 928-854-6206
Provider Business Practice Location Address
First Line : 340 S WILLARD ST
Second Line :
City : COTTONWOOD
State : AZ
Zip : 86326-4126
Country : US
Telephone Number : 928-639-6025
Fax Number : 928-649-7921
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 09/24/2024

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