Individual
MAREENA SUSAN ZACHARIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-4803
Mailing address
1560 E MAPLE RD, TROY, MI 48083-1135
(248) 581-5729
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
49534
WI
207RN0300X
Nephrology Physician
Primary
251087
NY
207RN0300X
Nephrology Physician
4301114099
MI
207RN0300X
Nephrology Physician
MFC1621
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03053990
—
NY
01
—
2515398
INDEPENDENT HEALTH
NY
05
—
2798280000
—
FL
Enumeration date
08/05/2006
Last updated
01/14/2022
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