Active NPI
Dalila A Zachary, MD
- Infectious Disease Physician
- Clinton, MD
National Provider Identifier
1619138039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD447297
- Practice address
- 7503 Surratts Rd
Clinton, MD 20735-3358 - Phone
- (301) 877-4262
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | LP01340 | RI | |
| Infectious Disease Physician | 207RI0200X | MD447297 | PA | Primary |
Addresses
Primary practice location
7503 Surratts Rd
Clinton, MD 20735-3358
Mailing address
7503 Surratts Rd
Clinton, MD 20735-3358
Other practice location 1
5000 Woodland Ave
Philadelphia, PA 19143-5137
Phone (215) 726-9807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD447297 | PA | MD | Infectious Disease Physician |
| LP01340 | RI | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576713600000",
"number": "1619138039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7503 SURRATTS RD",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7503 SURRATTS RD",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353358",
"telephone_number": "301-877-4262"
}
],
"practiceLocations": [
{
"address_1": "5000 Woodland Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191435137",
"country_code": "US",
"telephone_number": "215-726-9807",
"fax_number": "215-726-0424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZACHARY",
"first_name": "DALILA",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "RI",
"license": "LP01340",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "PA",
"license": "MD447297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.