Healthcare Provider Details

I. General information

NPI: 1174592968
Provider Name (Legal Business Name): STEVEN JOSEPH ZICHICHI D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 HOUMA BLVD SUITE 204
METAIRIE LA
70006-2930
US

IV. Provider business mailing address

3901 HOUMA BLVD SUITE 204
METAIRIE LA
70006-2930
US

V. Phone/Fax

Practice location:
  • Phone: 504-888-9403
  • Fax: 504-888-2895
Mailing address:
  • Phone: 504-888-9403
  • Fax: 504-888-2895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPD066R
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPD066R
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberPD066R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: