Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ZACHARY NATHAN GORDON, MD
ActiveDR. ZACHARY NATHAN GORDON, MD is a Urology healthcare provider located in LEBANON, Indiana. NPI 1790075851 is currently active in the NPPES registry. Verify at CMS.
Urology · LEBANON, IN
Registration Details
- NPI Number
- 1790075851
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2011 (15.370652399435 yrs)
- Last Updated
- Oct 11, 2023
- Licenses
-
01077056A (IN)01077056A (IN)
Practice Information
- Address
-
2705 N LEBANON ST STE 265LEBANON, IN, 46052Browse IN providers · Browse ZIP 46052
- Phone
- 7654858730
- Fax
- 7654858739
- Primary Specialty
-
Urology
208800000X
- Additional Specialty
- Urology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.