Konstantin G Zaharoff Jr, MD | |
401 Bicentennial Way, Santa Rosa, CA 95403-2149 | |
(707) 571-4000 | |
Not Available |
Full Name | Konstantin G Zaharoff Jr |
---|---|
Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 401 Bicentennial Way, Santa Rosa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932271780 | NPI | - | NPPES |
00G577490 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | G57749 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Konstantin G Zaharoff Jr, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Konstantin G Zaharoff Jr, MD 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-4000 |
Myles Julian Ketchum, M.D., PH.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 2360 Mendocino Ave, Santa Rosa, CA 95403 Phone: 707-573-5250 Fax: 707-573-5458 | |
Norman Paul Westhoff, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1221 N Dutton Ave, Santa Rosa, CA 95401 Phone: 707-543-8360 | |
Robert Y Yee, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1221 N Dutton Ave, Santa Rosa, CA 95401 Phone: 615-778-4066 |