Provider Demographics
NPI:1033550579
Name:ZACHARIAH, AJAY (BS, RVT, RDCS, RDMS)
Entity Type:Individual
Prefix:
First Name:AJAY
Middle Name:
Last Name:ZACHARIAH
Suffix:
Gender:M
Credentials:BS, RVT, RDCS, RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11714 N CREEK PKWY N STE 100
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-8250
Mailing Address - Country:US
Mailing Address - Phone:425-486-8868
Mailing Address - Fax:425-486-8976
Practice Address - Street 1:11714 N CREEK PKWY N STE 100
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-8250
Practice Address - Country:US
Practice Address - Phone:425-486-8868
Practice Address - Fax:425-486-8976
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography
No246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography