Provider Demographics
NPI:1588834394
Name:ZIKARAS LLC
Entity Type:Organization
Organization Name:ZIKARAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:ZIKARAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-332-7117
Mailing Address - Street 1:2456 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06604-1403
Mailing Address - Country:US
Mailing Address - Phone:203-332-7117
Mailing Address - Fax:203-368-4756
Practice Address - Street 1:2456 PARK AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06604-1403
Practice Address - Country:US
Practice Address - Phone:203-332-7117
Practice Address - Fax:203-368-4756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC02741Medicare PIN