Provider Demographics
NPI:1477645836
Name:IMRAN, ZAHID (MD)
Entity Type:Individual
Prefix:
First Name:ZAHID
Middle Name:
Last Name:IMRAN
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 1:5329 DIJON DR
Mailing Address - Street 2:SUITE #107
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4378
Mailing Address - Country:US
Mailing Address - Phone:225-761-5070
Mailing Address - Fax:225-766-0773
Practice Address - Street 1:5329 DIJON DR
Practice Address - Street 2:SUITE #107
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4378
Practice Address - Country:US
Practice Address - Phone:225-761-5070
Practice Address - Fax:225-766-0773
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11630-R2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1677973Medicaid
LA1677973Medicaid
5W745Medicare ID - Type Unspecified