Provider Demographics
NPI:1093726416
Name:ELITE HEALTH CARE, INC.
Entity Type:Organization
Organization Name:ELITE HEALTH CARE, INC.
Other - Org Name:E J ZANGHI, MD PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:478-328-7674
Mailing Address - Street 1:1719 RUSSELL PKWY
Mailing Address - Street 2:BLDG 700
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-5763
Mailing Address - Country:US
Mailing Address - Phone:478-328-7674
Mailing Address - Fax:478-328-1393
Practice Address - Street 1:1719 RUSSELL PKWY
Practice Address - Street 2:BLDG. 700
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-5763
Practice Address - Country:US
Practice Address - Phone:478-328-7674
Practice Address - Fax:478-328-1393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000370191AMedicaid
GAGRP3218Medicare PIN
GA000370191AMedicaid