Provider Demographics
NPI:1811932213
Name:HOWARD P ZAHALSKY
Entity type:Organization
Organization Name:HOWARD P ZAHALSKY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHLALSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-525-4103
Mailing Address - Street 1:1715 N GEORGE MASON DR
Mailing Address - Street 2:SUITE 501
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3609
Mailing Address - Country:US
Mailing Address - Phone:703-525-4103
Mailing Address - Fax:703-525-4106
Practice Address - Street 1:1715 N GEORGE MASON DR
Practice Address - Street 2:SUITE 501
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3609
Practice Address - Country:US
Practice Address - Phone:703-525-4103
Practice Address - Fax:703-525-4106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101055699261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA453964OtherANTHEM
VA2122458OtherMAMSI
VA267737322OtherTRICARE
VA5114510OtherAETNA
VAF4120001OtherCAREFIRST
VAG00754Medicare ID - Type Unspecified
VA267737322OtherTRICARE