Provider Demographics
NPI:1568435063
Name:ZANCHI, MICHAEL A (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:A
Last Name:ZANCHI
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 1:1125 LEVI
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75462-2060
Mailing Address - Country:US
Mailing Address - Phone:903-784-2717
Mailing Address - Fax:903-784-2713
Practice Address - Street 1:1125 LEVI
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75462-2060
Practice Address - Country:US
Practice Address - Phone:903-784-2717
Practice Address - Fax:903-784-2713
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3369207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00303720OtherRAILROAD MEDICARE
TX8F1876Medicare PIN
TXG18149Medicare UPIN