Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 042-0006490 | VT |
NPI | 1023223575 |
---|---|
Provider Name | Dr. Michael Joseph Zahm |
First Address | Montpelier, VT 05601-0278 |
Second Address | Barre, VT 05641 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 11/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0005147 | (05) | VT |
441432886 | RAIL ROAD MEDICARE (01) | VT |
B85655 | (02) | VT |