Provider Demographics
NPI:1912534983
Name:TEIBEL, ZACHARY RAPHAEL (MD)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:RAPHAEL
Last Name:TEIBEL
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 1:16217 N 65TH PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-1460
Mailing Address - Country:US
Mailing Address - Phone:585-831-0867
Mailing Address - Fax:
Practice Address - Street 1:3648 W ANTHEM WAY STE A100
Practice Address - Street 2:
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-7002
Practice Address - Country:US
Practice Address - Phone:623-434-6444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-26
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ77121207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ202695692OtherEXCELLUS BLUE CROSS BLUE SHIELD