1235226549 NPI number — ALI ZARBALIAN M.D.

Table of content: ALI ZARBALIAN M.D. (NPI 1235226549)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235226549 NPI number — ALI ZARBALIAN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZARBALIAN
Provider First Name:
ALI
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235226549
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9050 AIRLINE HWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BATON ROUGE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70815-4103
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-929-7210
Provider Business Mailing Address Fax Number:
225-930-7524

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8212 KELWOOD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BATON ROUGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70806-4801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-929-7600
Provider Business Practice Location Address Fax Number:
225-930-7524
Provider Enumeration Date:
10/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  03810R , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0004378690 . This is a "AETNA PROVIDER NUMBER" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1338079 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: B89183 . This is a "STERLING PROVIDER NUMBER" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: LA0064137 . This is a "TRICARE PROVIDER NUMBER" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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