Provider Demographics
NPI:1235226549
Name:ZARBALIAN, ALI (MD)
Entity Type:Individual
Prefix:
First Name:ALI
Middle Name:
Last Name:ZARBALIAN
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 1:9050 AIRLINE HWY
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-4103
Mailing Address - Country:US
Mailing Address - Phone:225-929-7210
Mailing Address - Fax:225-930-7524
Practice Address - Street 1:8212 KELWOOD AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-4801
Practice Address - Country:US
Practice Address - Phone:225-929-7600
Practice Address - Fax:225-930-7524
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA03810R207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA0004378690OtherAETNA PROVIDER NUMBER
LA1338079Medicaid
LAB89183OtherSTERLING PROVIDER NUMBER
LALA0064137OtherTRICARE PROVIDER NUMBER
LA1338079Medicaid
LAB89183OtherSTERLING PROVIDER NUMBER