Zachariah, Mammen P
Zachariah, Mammen P is an individual health care provider with primary practice located at 1841 Ne 45Th St , Fort Lauderdale FL 33308-5117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Zachariah, Mammen P can be contacted via phone (954) 820-4200.Contact Information
Primary practice address
1841 Ne 45Th St
Fort Lauderdale FL 33308-5117
Phone: (954) 820-4200
Fax: (954) 678-9533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME41759 | Florida |
Profile Details
| NPI number | 1154300150 |
|---|---|
| LBN Legal business name | Zachariah, Mammen P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Aug 20th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154300150 | NPPES |
| Florida | MEDICAID | 277300700 |
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