Provider Demographics
NPI:1689017014
Name:SUNDERMEYER, ZAHARA (NMD)
Entity Type:Individual
Prefix:DR
First Name:ZAHARA
Middle Name:
Last Name:SUNDERMEYER
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2842 N RICHEY BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-2023
Mailing Address - Country:US
Mailing Address - Phone:520-396-4866
Mailing Address - Fax:877-533-4226
Practice Address - Street 1:205 JUDITH LN
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-4413
Practice Address - Country:US
Practice Address - Phone:209-809-4251
Practice Address - Fax:877-533-4226
Is Sole Proprietor?:No
Enumeration Date:2013-04-16
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13-1359175F00000X
CAND696175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1689017014Medicaid