Provider Demographics
NPI:1861445884
Name:ZARATE, HERMAN (DPM)
Entity Type:Individual
Prefix:DR
First Name:HERMAN
Middle Name:
Last Name:ZARATE
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 1:7610 CARROLL AVENUE
Mailing Address - Street 2:SUITE 350
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6384
Mailing Address - Country:US
Mailing Address - Phone:240-353-5023
Mailing Address - Fax:301-916-9587
Practice Address - Street 1:7610 CARROLL AVENUE
Practice Address - Street 2:SUITE 350
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6384
Practice Address - Country:US
Practice Address - Phone:240-353-5023
Practice Address - Fax:240-353-5023
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01370213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD018122H18Medicare ID - Type Unspecified
MDU91893Medicare UPIN