Doctor Name: | JULIA ZAKHALEVA |
NPI Number: | 1154574606 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ME112785 |
Business Practice Address: | 2200 Whitney Ave Suite 220 Hamden, CT - 065183691 |
Business Phone Number: | 2032817000 |
Business Fax Number: | 2032819300 |
Mailing Address: | 322 E Main St, Suite 1b BRANFORD |
State: | CT |
Postal Code: | 064053136 |
Phone Number: | 2034887228 |
Fax Number: | 2034887227 |
NPI Enumeration Date: | 10/28/2008 |
NPI Last Update Date: | 06/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | ME112785 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |