# PHENU V ZACHARIAH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386838340
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 2010020902 | MO | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 70454 | WI | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | V1927 | TX | Yes |

## Other

- **Enumeration date:** 09/04/2007
- **Last updated:** 07/08/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100084384 | — | WI |
| 05 | — | 1598759169 | — | MO |
| 01 | — | P00866350 | RR MEDICARE | MO |