Provider Demographics
NPI:1770837650
Name:ZAKHEIM, TAMAR (PA-C)
Entity type:Individual
Prefix:
First Name:TAMAR
Middle Name:
Last Name:ZAKHEIM
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4910 MASSACHUSETTS AVE NW STE 215
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-4368
Mailing Address - Country:US
Mailing Address - Phone:202-953-0990
Mailing Address - Fax:202-845-7344
Practice Address - Street 1:4910 MASSACHUSETTS AVE NW STE 215
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4368
Practice Address - Country:US
Practice Address - Phone:202-953-0990
Practice Address - Fax:202-845-7344
Is Sole Proprietor?:No
Enumeration Date:2012-10-31
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPA030891363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCPA030891OtherDC PA LICENSE