1972683225 NPI number — NIKOLAOS ZACHARIAS M.D.

Table of content: NIKOLAOS ZACHARIAS M.D. (NPI 1972683225)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972683225 NPI number — NIKOLAOS ZACHARIAS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZACHARIAS
Provider First Name:
NIKOLAOS
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972683225
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/19/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6431 FANNIN
Provider Second Line Business Mailing Address:
MSB 3.286
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77030
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-500-6412
Provider Business Mailing Address Fax Number:
713-500-7860

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5656 KELLEY STREET
Provider Second Line Business Practice Location Address:
DEPT OF OB/GYN ROOM # 2LD80 001
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77026
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-566-5976
Provider Business Practice Location Address Fax Number:
713-566-4521
Provider Enumeration Date:
10/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207VM0101X , with the licence number:  M2219 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: M2219 . This is a "TEXAS MEDICAL BOARD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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