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General NPI Number Information
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NPI Number | 1598736472
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Entity Type | Individual
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Provider Name | RAUL HORACIO ZAMBRANO MD
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Gender | Male
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 05/13/2020
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Provider Practice Location Address
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Address Line | 1431 WAYNE AVE
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City | DAYTON
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State | OH
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Zip | 45410-1411
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Country | US
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Telephone | 937-348-7001
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Fax |
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Provider Business Mailing Address
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Address Line | 30 W MONROE ST STE 1200
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City | CHICAGO
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State | IL
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Zip | 60603-2420
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Country | US
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Telephone | 312-733-9730
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01081132A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 230369
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35.139023
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License Number State | OH
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