Provider Demographics
NPI:1073994455
Name:ZAW, ANDREA (MD)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:ZAW
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2335 STOCKTON BOULEVARD
Mailing Address - Street 2:NAOB 6TH FL.
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817
Mailing Address - Country:US
Mailing Address - Phone:916-734-7289
Mailing Address - Fax:916-734-7104
Practice Address - Street 1:2335 STOCKTON BOULEVARD
Practice Address - Street 2:NAOB 6TH FL.
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817
Practice Address - Country:US
Practice Address - Phone:916-734-7289
Practice Address - Fax:916-734-7104
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-11
Last Update Date:2021-07-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMT209629208600000X
CAA1650322086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery