Provider Demographics
NPI:1629340872
Name:ZERANGUE INTERNAL MEDICINE
Entity Type:Organization
Organization Name:ZERANGUE INTERNAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:E
Authorized Official - Last Name:ZERANGUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-662-5331
Mailing Address - Street 1:15784 MEDICAL ARTS DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-1472
Mailing Address - Country:US
Mailing Address - Phone:985-662-5331
Mailing Address - Fax:985-662-5338
Practice Address - Street 1:15784 MEDICAL ARTS DR
Practice Address - Street 2:SUITE B
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1446
Practice Address - Country:US
Practice Address - Phone:985-662-5331
Practice Address - Fax:985-662-5338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-03
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty