Milan Douglas Zydow, is a
Counselor - Mental Health based in Kensington, California. Milan Douglas Zydow is licensed to practice in California (license number 40579) and his current practice location is
376 Colusa Ave, Kensington, California. He can be reached at his office (for appointments etc.) via phone at
(510) 816-6258.
NPI number for Milan Douglas Zydow is 1174080139 and his current mailing address is 376 Colusa Ave, Kensington, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174080139.
Healthcare Provider's Profile
Full Name | Milan Douglas Zydow |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 376 Colusa Ave, Kensington, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174080139
- Provider Enumeration Date: 02/26/2019
- Last Update Date: 11/29/2021
Medical Identifiers
Medical identifiers for Milan Douglas Zydow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174080139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 40579 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Milan Douglas Zydow is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Milan Douglas Zydow, 376 Colusa Ave, Kensington, CA 94707-1213 Ph: (510) 816-6258 | Milan Douglas Zydow, 376 Colusa Ave, Kensington, CA 94707-1213 Ph: (510) 816-6258 |
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