Zedalis, Donald

Zedalis, Donald is an individual health care provider with primary practice located at 120 Ponderosa Dr Ste B , Christiansburg VA 24073. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Zedalis, Donald can be contacted via phone (540) 382-1165.

Contact Information

Primary practice address
120 Ponderosa Dr Ste B Christiansburg VA 24073
Phone: (540) 382-1165
Fax: (540) 382-2614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 0101045194 Virginia
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 0101045194 Virginia

Profile Details

NPI number 1760471403
LBN Legal business name Zedalis, Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2005
Last updated Dec 13th, 2018 - about 8 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760471403 NPPES
Virginia Other 072311 ANTHEM
Virginia Other 233711 ANTHEM
Virginia Other 333711 ANTHEM
Virginia Other 006053238 ANTHEM
Virginia MEDICAID 006053238 ANTHEM

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