Provider Demographics
NPI:1023223575
Name:ZAHM, MICHAEL JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:ZAHM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 278
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05601-0278
Mailing Address - Country:US
Mailing Address - Phone:802-476-6060
Mailing Address - Fax:802-476-6767
Practice Address - Street 1:542 BARRE MONTPELIER RD
Practice Address - Street 2:US RT 302
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641
Practice Address - Country:US
Practice Address - Phone:802-476-6060
Practice Address - Fax:802-476-6767
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042-0006490208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0005147Medicaid
VT441432886OtherRAIL ROAD MEDICARE
VT441432886OtherRAIL ROAD MEDICARE
VTB85655Medicare UPIN
VTVT5147Medicare PIN