Provider Demographics
NPI:1376574533
Name:ZILMED, INC.
Entity Type:Organization
Organization Name:ZILMED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JAYESH
Authorized Official - Middle Name:T
Authorized Official - Last Name:SHETH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-246-9809
Mailing Address - Street 1:6823 HIGHWAY 311
Mailing Address - Street 2:
Mailing Address - City:SELLERSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47172-1801
Mailing Address - Country:US
Mailing Address - Phone:812-246-9809
Mailing Address - Fax:812-246-9826
Practice Address - Street 1:6823 HIGHWAY 311
Practice Address - Street 2:
Practice Address - City:SELLERSBURG
Practice Address - State:IN
Practice Address - Zip Code:47172-1801
Practice Address - Country:US
Practice Address - Phone:812-246-9809
Practice Address - Fax:812-246-9826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA555285870AMedicaid
KYDG2180OtherRAILROAD MEDICARE
IN200872280AMedicaid
500141OtherPASSPORT
KY65944605Medicaid
KY78904190Medicaid
KY7100041590Medicaid
IN200872280AMedicaid
KY78904190Medicaid
GA511G700813Medicare PIN