Individual
DR. MADGE E ZACHARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1311 PALMYRA AVE, RICHMOND, VA 23227-4418
(804) 358-9539
(804) 358-9329
Mailing address
1311 PALMYRA AVE, RICHMOND, VA 23227-4418
(804) 358-9539
(804) 358-9329
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101039837
VA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
0101039837
VA
208D00000X
General Practice Physician
0101039837
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10348998
CAQH
VA
Enumeration date
11/06/2009
Last updated
11/06/2009
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