Individual
MR. CHEMANOOR U ZACHARIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 W 11TH ST, SUITE D, TRACY, CA 95376-3935
(209) 833-0886
(209) 835-6614
Mailing address
130 W 11TH ST, SUITE D, TRACY, CA 95376-3935
(209) 833-0886
(209) 835-6614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A30629
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A306291
—
CA
Enumeration date
01/27/2006
Last updated
11/16/2016
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