Provider Demographics
NPI:1831776483
Name:GISH, ZACHARY SAMUEL
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:SAMUEL
Last Name:GISH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O BOX 850, MC H066, 500 UNIVERSITY DR
Mailing Address - Street 2:DEPARTMENT OF RADIOLOGY
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033
Mailing Address - Country:US
Mailing Address - Phone:717-531-6896
Mailing Address - Fax:717-531-0922
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033
Practice Address - Country:US
Practice Address - Phone:717-531-6896
Practice Address - Fax:717-531-0922
Is Sole Proprietor?:No
Enumeration Date:2021-03-28
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program