Provider Demographics
NPI:1235121682
Name:ZACHIK, ALBERT ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:ANTHONY
Last Name:ZACHIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12420 OVER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3046
Mailing Address - Country:US
Mailing Address - Phone:301-340-2975
Mailing Address - Fax:
Practice Address - Street 1:5614 SHIELDS DR
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-3532
Practice Address - Country:US
Practice Address - Phone:301-530-4664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD212222084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry