Individual
TOMMY ZAHARAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 837-8905
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 837-8905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A95900
CA
207RN0300X
Nephrology Physician
226942
NY
207RN0300X
Nephrology Physician
A95900
CA
208M00000X
Hospitalist Physician
Primary
A95900
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02470840
—
NY
01
—
151006
VYTRA
—
01
—
226942
HIP
—
01
—
3467333
AETNA HMO
—
01
—
3C6510
HEALTH NET
—
01
—
7450582
AETNA PPO POS
—
01
—
7X010
BLUE SHIELD
—
01
—
P00159841
RAILROAD MEDICARE
—
01
—
P2898503
OXFORD
—
Enumeration date
12/01/2005
Last updated
06/29/2023
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