Individual
MAMMEN P ZACHARIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1841 NE 45TH ST, FORT LAUDERDALE, FL 33308-5117
(954) 820-4200
(954) 678-9533
Mailing address
1841 NE 45TH ST, FORT LAUDERDALE, FL 33308-5117
(954) 820-4200
(954) 678-9533
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
ME41759
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277300700
—
FL
Enumeration date
01/10/2006
Last updated
08/20/2025
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