Provider Demographics
NPI:1548230907
Name:KAYE, ZACHARY A (MD)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:A
Last Name:KAYE
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 1:14904 JEFFERSON DAVIS HWY
Mailing Address - Street 2:SUITE 408
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-3908
Mailing Address - Country:US
Mailing Address - Phone:703-690-3322
Mailing Address - Fax:703-491-0424
Practice Address - Street 1:14904 JEFFERSON DAVIS HWY
Practice Address - Street 2:SUITE 408
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3908
Practice Address - Country:US
Practice Address - Phone:703-690-3322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101030892207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA541182200OtherTRICARE
VA6099696Medicaid
VA503244OtherNCPPO
VA067121OtherANTHEM
VA24975OtherMDIPA
VA3300233OtherUHC
VA110003422OtherRR MEDICARE
VA4189948003OtherCIGNA
VA3044OtherCARE FIRST
VA582740OtherAETNA
VA541182200OtherTRICARE
VA110003422OtherRR MEDICARE