Individual
DR. JAMES A ZALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
13966
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047485
ANTHEM ID
—
01
—
03-20159
UNITED HEALTHCARE ID
—
01
—
0647186
AETNA ID
—
01
—
18D0324336
CLIA CERTIFICATE ID
—
01
—
3235383
AETNA PATHOLOGY ID
—
Enumeration date
03/28/2007
Last updated
09/13/2016
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