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Individual

DR. ANISH BABU ZACHARIAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1 DAVIS BLVD, SUITE 504, TAMPA, FL 33606-3463
(813) 627-5973
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2004015870
MO
207P00000X
Emergency Medicine Physician
Primary
ME101413
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000273900
FL
01
54069
BCBS
FL
Enumeration date
09/11/2006
Last updated
12/07/2025
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