MEDICARE: DR. CARLOS ARMANDO ZAMORA GONZALEZ MD, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085N0700X	Neuroradiology Physician	2015-00414	NC

General Provider Information

NPI Number	:	1164663688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLOS ARMANDO ZAMORA GONZALEZ MD, PHD

Provider Business Mailing Address
First Line	:	203 KENILWORTH PL
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516-1144
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	DEPARTMENT OF RADIOLOGY
Second Line	:	2000 OLD CLINIC BUILDING, CB # 7510
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-7510
Country	:	US
Telephone Number	:	919-966-6696
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2009
Last Update Date	:	10/09/2015

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