Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | A37144 | CA |
N | 208200000X | Surgeon | A37144 | CA |
N | 208600000X | Surgeon | A37144 | CA |
NPI | 1942469523 |
---|---|
Provider Name | Abraham Zachariah |
First Address | Los Gatos, CA 95032-1542 |
Second Address | Los Gatos, CA 95032-1542 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 09/06/2008 |