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Individual
VIRGINIA ZACHARIAS
Active
Individual
VIRGINIA ZACHARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301075602
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4184274
—
MI
01
—
4301075602
CONTROLLED SUBSTANCE
—
Enumeration date
08/31/2005
Last updated
05/26/2009
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