Fallil, Zianka H

Fallil, Zianka H is an individual health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3224. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Fallil, Zianka H can be contacted via phone (321) 434-1771.

Contact Information

Primary practice address
1350 Hickory St Melbourne FL 32901-3224
Fax: (321) 434-1775
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 25MA09776500 New Jersey
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 261527 New York
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME137765 Florida

Profile Details

NPI number 1376861948
LBN Legal business name Fallil, Zianka H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2010
Last updated Jan 7th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376861948 NPPES
New Jersey MEDICAID 0484148
New Jersey MEDICAID 101484300
New Jersey Other KN000

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