Provider Demographics
NPI:1821449091
Name:EGIDI, ZACHARY MARCO (DPM)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:MARCO
Last Name:EGIDI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 VANDERBILT PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1768
Mailing Address - Country:US
Mailing Address - Phone:828-277-8042
Mailing Address - Fax:
Practice Address - Street 1:1 VANDERBILT PARK DR STE 100
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1768
Practice Address - Country:US
Practice Address - Phone:828-277-8042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-28
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC801213ES0103X
MD01675213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery