Provider Demographics
NPI:1811101819
Name:ZANKICH, ANGELA MARIE (MD)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:ZANKICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 E CAMELBACK RD
Mailing Address - Street 2:STE 250
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2327
Mailing Address - Country:US
Mailing Address - Phone:602-933-1814
Mailing Address - Fax:
Practice Address - Street 1:60 S KYRENE RD
Practice Address - Street 2:STE. 1
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-4685
Practice Address - Country:US
Practice Address - Phone:480-785-8700
Practice Address - Fax:480-785-8787
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ36633208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics