Provider Demographics
NPI:1467455089
Name:ZAHARIA, VALENTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:VALENTIN
Middle Name:
Last Name:ZAHARIA
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 1:3333 E CAMELBACK RD
Mailing Address - Street 2:STE 180
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2322
Mailing Address - Country:US
Mailing Address - Phone:602-997-0484
Mailing Address - Fax:602-224-3315
Practice Address - Street 1:2545 E THOMAS RD
Practice Address - Street 2:STE 120
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7969
Practice Address - Country:US
Practice Address - Phone:602-419-3378
Practice Address - Fax:602-595-1528
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ31266207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ808678Medicaid
H82733Medicare UPIN
AZ80200Medicare PIN