Provider Demographics
NPI:1851601264
Name:DEFILIPP, ZACHARIAH (MD)
Entity Type:Individual
Prefix:DR
First Name:ZACHARIAH
Middle Name:
Last Name:DEFILIPP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1365C CLIFTON RD NE
Mailing Address - Street 2:SUITE C5010
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1013
Mailing Address - Country:US
Mailing Address - Phone:404-778-1900
Mailing Address - Fax:404-778-1301
Practice Address - Street 1:1365C CLIFTON RD NE
Practice Address - Street 2:SUITE C5010
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1013
Practice Address - Country:US
Practice Address - Phone:404-778-1900
Practice Address - Fax:404-778-1301
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-19
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT198167207R00000X
GA006643207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine