Provider Demographics
NPI:1568476901
Name:ZANGARI, MAURIZIO (MD)
Entity Type:Individual
Prefix:
First Name:MAURIZIO
Middle Name:
Last Name:ZANGARI
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 1:4301 W MARKHAM ST
Mailing Address - Street 2:SLOT 816
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-526-2873
Mailing Address - Fax:501-526-2273
Practice Address - Street 1:4301 W MARKHAM ST
Practice Address - Street 2:SLOT 816
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7101
Practice Address - Country:US
Practice Address - Phone:501-526-2873
Practice Address - Fax:501-526-2273
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-0366207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR127247001Medicaid
AR5J672Medicare ID - Type Unspecified
AR127247001Medicaid