Zachariah, Chemanoor U

Zachariah, Chemanoor U is an sole proprietor health care provider with primary practice located at 130 W 11Th St Suite D, Tracy CA 95376-3935. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Zachariah, Chemanoor U can be contacted via phone (209) 833-0886.

Contact Information

Primary practice address
130 W 11Th St Suite D Tracy CA 95376-3935
Fax: (209) 835-6614
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A30629 California

Profile Details

NPI number 1780655951
LBN Legal business name Zachariah, Chemanoor U
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated Nov 16th, 2016 - about 8 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 1780655951 NPPES
California MEDICAID 00A306291

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