Provider Demographics
NPI:1376722496
Name:ZAHALSKY, HOWARD PERRY (MD)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:PERRY
Last Name:ZAHALSKY
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 1:1715 N GEORGE MASON DR
Mailing Address - Street 2:SUITE 501
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3609
Mailing Address - Country:US
Mailing Address - Phone:703-525-4103
Mailing Address - Fax:703-525-4106
Practice Address - Street 1:1715 N GEORGE MASON DR
Practice Address - Street 2:SUITE 501
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3609
Practice Address - Country:US
Practice Address - Phone:703-525-4103
Practice Address - Fax:703-525-4106
Is Sole Proprietor?:No
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101055699207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5867436Medicaid
VA1263242OtherCIGNA
VAF4120001OtherCAREFIRST
VA2122458OtherMAMSI
VA453964OtherANTHEM
VAF4120001OtherCAREFIRST