Zachariah, Mammen P

Zachariah, Mammen P is an individual health care provider with primary practice located at 6405 N Federal Hwy Ste 300 , Fort Lauderdale FL 33308-1414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Zachariah, Mammen P can be contacted via phone (954) 958-5200.

Contact Information

Primary practice address
6405 N Federal Hwy Ste 300 Fort Lauderdale FL 33308-1414
Phone: (954) 958-5200
Fax: (954) 958-5105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME41759 Florida

Profile Details

NPI number 1154300150
LBN Legal business name Zachariah, Mammen P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Apr 2nd, 2024 - about 5 months 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 1154300150 NPPES
Florida MEDICAID 277300700

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