Provider Demographics
NPI:1497796809
Name:ZATO, WILLIAM (DO)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:ZATO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7805 TAFT ST STE E
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-5237
Mailing Address - Country:US
Mailing Address - Phone:219-756-3791
Mailing Address - Fax:219-365-8291
Practice Address - Street 1:7805 TAFT ST STE E
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-5237
Practice Address - Country:US
Practice Address - Phone:219-230-4667
Practice Address - Fax:219-756-3793
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN02000629A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN5913390001Medicare NSC
INDE6640Medicare Oscar/Certification
IN200760Medicare PIN
IN000000721938OtherANTHEM TRADITIONAL
INB28934Medicare UPIN