Provider Demographics
NPI:1629345772
Name:VLADIMIR ZUZUKIN MD INC
Entity Type:Organization
Organization Name:VLADIMIR ZUZUKIN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUZUKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-934-0200
Mailing Address - Street 1:8030 CROWDER BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-1072
Mailing Address - Country:US
Mailing Address - Phone:214-934-0200
Mailing Address - Fax:504-324-2336
Practice Address - Street 1:8030 CROWDER BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-1072
Practice Address - Country:US
Practice Address - Phone:214-934-0200
Practice Address - Fax:504-324-2336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD202364207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty