Provider Demographics
NPI:1285606863
Name:ZAK, ROCHELLE (MD)
Entity type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:ZAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 POST ST.
Mailing Address - Street 2:420
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115
Mailing Address - Country:US
Mailing Address - Phone:415-885-7886
Mailing Address - Fax:415-885-3650
Practice Address - Street 1:2330 POST ST.
Practice Address - Street 2:#420
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115
Practice Address - Country:US
Practice Address - Phone:415-885-7886
Practice Address - Fax:415-885-3650
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY176119207RP1001X
CT0392912084S0012X
CAG645672084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT130000573Medicare ID - Type Unspecified
CTG02848Medicare UPIN