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Individual

KENNETH G ZAHKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9500 EUCLID AVE, ST10, CLEVELAND, OH 44195-0001
(440) 878-2500
Mailing address
9500 EUCLID AVE, ST10, CLEVELAND, OH 44195-0001
(440) 878-2500

Taxonomy

Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
35-059961
OH
2080P0202X
Pediatric Cardiology Physician
Primary
35-059961
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000217368
UNISON
OH
01
00000027997
ANTHEM
OH
01
000000526177
ANTHEM
OH
05
0013019200003
PA
01
0647550
AETNA
OH
01
0791675
BCMH
OH
05
0791675
OH
01
200206580A
OK MEDICAID
OK
01
364162
WELLCARE
OH
01
727590
BUCKEYE
OH
01
P00600871
RAILROAD MEDICARE
OH
Enumeration date
07/24/2006
Last updated
11/05/2021
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