Provider Demographics
NPI:1831248442
Name:ZAPHIRIS, ALEX (MD)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:ZAPHIRIS
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 1:1286 SANCHEZ ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-3833
Mailing Address - Country:US
Mailing Address - Phone:415-642-0333
Mailing Address - Fax:415-642-6233
Practice Address - Street 1:1286 SANCHEZ ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-3833
Practice Address - Country:US
Practice Address - Phone:415-642-0333
Practice Address - Fax:415-642-6233
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA105850207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432683299Medicaid
MENONEOtherRESIDENT-NO NOT ISSUED