Individual
DR. JOHN S. ZAKAIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7373 FRANCE AVE S, EDINA, MN 55435-4534
(855) 644-4787
(952) 428-0589
Mailing address
7373 FRANCE AVE S STE 300, EDINA, MN 55435-4538
(952) 428-0500
(952) 428-0589
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101230846
VA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
0101231846
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538112388
—
VA
01
—
353042
SOUTHERN HEALTH
VA
01
—
C10061
MEDICARE GROUP PIN
VA
01
—
P00619622
RR MEDICARE PIN
VA
Enumeration date
05/19/2006
Last updated
11/10/2020
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