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NPI Code Detail

MEDICARE: ZACHARY DENKA M.D.

MEDICARE:   ZACHARY  DENKA  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
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine Physician35.127612OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972946242
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY DENKA M.D.
Provider Business Mailing Address
First Line : 3328 S SMITHVILLE RD
Second Line : DAYTON FAMILY PRACTICE ASSOC INC
City : DAYTON
State : OH
Zip : 45420-1500
Country : US
Telephone Number : 937-254-5661
Fax Number : 937-254-7367
Provider Business Practice Location Address
First Line : 3328 S SMITHVILLE RD
Second Line :
City : DAYTON
State : OH
Zip : 45420-1500
Country : US
Telephone Number : 937-254-5661
Fax Number : 937-254-7367
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2013
Last Update Date : 04/06/2022

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