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NPI Code Detail

MEDICARE: DR. ALVIN ZACHARIAH M.D.

MEDICARE:  DR. ALVIN  ZACHARIAH  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
1207R00000XInternal Medicine PhysicianA64060CA

General Provider Information

NPI Number : 1932178613
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALVIN ZACHARIAH M.D.
Provider Business Mailing Address
First Line : PO BOX 280041
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94128-0041
Country : US
Telephone Number : 209-613-1282
Fax Number : 650-273-1706
Provider Business Practice Location Address
First Line : 525 W ACACIA ST
Second Line :
City : STOCKTON
State : CA
Zip : 95203-2405
Country : US
Telephone Number : 209-613-1282
Fax Number : 650-273-1706
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 03/19/2009

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Directions to “ DR. ALVIN ZACHARIAH M.D.” Practice Location

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