Individual
DAVID ZANGRANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(849) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DR, SUITE 258, EDGEWOOD, KY 41017-5401
(849) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
31841
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000536573
ANTHEM
—
05
—
0234106
—
OH
05
—
200879530
—
IN
05
—
64318413
—
KY
Enumeration date
12/13/2005
Last updated
07/29/2010
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