Provider Demographics
NPI:1023158029
Name:ZARATE PODIATRY PA
Entity type:Organization
Organization Name:ZARATE PODIATRY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HERMAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:ZARATE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:240-441-3326
Mailing Address - Street 1:7610 CARROLL AVE
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:240-441-3326
Mailing Address - Fax:301-718-0252
Practice Address - Street 1:7610 CARROLL AVE
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:240-441-3326
Practice Address - Fax:301-718-0252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD01370213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty