Organization
ZICHICHI PODIATRY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN JOSEPH ZICHICHI D.P.M. (PRESIDENT)
(504) 888-9403
Entity
Organization
Contact information
Practice address
3901 HOUMA BLVD, SUITE 204, METAIRIE, LA 70006-2930
(504) 888-9403
(504) 888-2895
Mailing address
3901 HOUMA BLVD, SUITE 204, METAIRIE, LA 70006-2930
(504) 888-9403
(504) 888-2895
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PD066R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4013637
AETNA US HEALTHCARE
LA
01
—
4337291950
BLUE CROSS BLUE SHIELD
LA
Enumeration date
04/11/2007
Last updated
08/22/2020
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