Healthcare Provider Details

I. General information

NPI: 1285894121
Provider Name (Legal Business Name): GEORGE ZACHARIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2008
Last Update Date: 12/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 FOUCHER ST. TOURO INFUSION CENTER
NEW ORLEANS LA
70115
US

IV. Provider business mailing address

1401 FOUCHER ST. TOURO INFUSION CENTER
NEW ORLEANS LA
70115-3515
US

V. Phone/Fax

Practice location:
  • Phone: 504-897-8970
  • Fax: 504-897-8777
Mailing address:
  • Phone: 504-897-8970
  • Fax: 504-897-8777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD.203934
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number269577
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD.203934
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: