DR. DONALD ZEDALIS M.D.

Allergy and Immunology

Christiansburg, Virginia

Provider NPI: 1760471403

Provider Information:
DR. DONALD  ZEDALIS M.D.


Practice Location:
120 PONDEROSA DR STE B  CHRISTIANSBURG, VA 24073 US
Tel: 540-382-1165  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	207K00000X	Physicians Allergy & Immunology	VA	0101045194
Y	207RS0012X	Physicians Internal Medicine	VA	0101045194

Other Provider Identifiers:

Issuer	Number	State	Type
	006053238	VA	05
ALLIANCE/MAMSI (SLEEP)	333711	VA	01
ANTHEM	072311	VA	01
VIRGINIA PREMIER	006053238	VA	01
ALLIANCE PPO/MAMSI	233711	VA	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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