Healthcare Provider Details

I. General information

NPI: 1558344234
Provider Name (Legal Business Name): KIRAN G ZAVERI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2005
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 KINGMAN ST STE B
METAIRIE LA
70006-6673
US

IV. Provider business mailing address

3020 KINGMAN ST STE B
METAIRIE LA
70006-6673
US

V. Phone/Fax

Practice location:
  • Phone: 504-353-5500
  • Fax: 504-353-5501
Mailing address:
  • Phone: 504-353-5500
  • Fax: 504-353-5501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number11846R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: