Provider Demographics
NPI:1376002147
Name:ZAKHEM, GEORGE ANDREW (MD/MBA)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:ANDREW
Last Name:ZAKHEM
Suffix:
Gender:M
Credentials:MD/MBA
Other - Prefix:DR
Other - First Name:GEORGE
Other - Middle Name:ANDREW
Other - Last Name:ZAKHEM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD/MBA
Mailing Address - Street 1:UW HOSPITALS & CLINICS 600 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53792-0001
Mailing Address - Country:US
Mailing Address - Phone:608-263-6400
Mailing Address - Fax:
Practice Address - Street 1:UW HOSPITALS & CLINICS 600 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-0001
Practice Address - Country:US
Practice Address - Phone:608-263-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI81894-20390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program