Individual
DR. DONALD ZEDALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 PONDEROSA DR STE B, CHRISTIANSBURG, VA 24073
(540) 382-1165
(540) 382-2614
Mailing address
120 PONDEROSA DR STE B, CHRISTIANSBURG, VA 24073-6599
(540) 382-1165
(540) 382-2614
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
0101045194
VA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
0101045194
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006053238
VIRGINIA PREMIER
VA
05
—
006053238
—
VA
01
—
072311
ANTHEM
VA
01
—
233711
ALLIANCE PPO/MAMSI
VA
01
—
333711
ALLIANCE/MAMSI (SLEEP)
VA
Enumeration date
10/15/2005
Last updated
12/13/2018
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