Healthcare Provider Details

I. General information

NPI: 1942837745
Provider Name (Legal Business Name): ZAKARIA RAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 07/01/2022
Certification Date: 06/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 CANAL ST # 8448
NEW ORLEANS LA
70112-2703
US

IV. Provider business mailing address

5141 PIETY DR
NEW ORLEANS LA
70126-3548
US

V. Phone/Fax

Practice location:
  • Phone: 504-988-4272
  • Fax:
Mailing address:
  • Phone: 786-647-0774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number331300
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: