| 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 |
|---|---|
| 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 |