Individual provider Active NPI

Iram Kareemi Zando, M.D.

  • Family Medicine Physician
  • Shreveport, LA
National Provider Identifier
1881631430
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
09509R Issued in LA
Practice address
1400 E Bert Kouns Loop
Suite 104
Shreveport, LA 71105-5603
Phone
(318) 797-0009
Fax
(318) 797-0092
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 09509R LA
Infectious Disease Physician 207RI0200X 09509R LA
Family Medicine Physician 207Q00000X 09509R LA Primary

Addresses

Primary practice location

1400 E Bert Kouns Loop
Suite 104
Shreveport, LA 71105-5603

Mailing address

PO Box 53134
Shreveport, LA 71135-3134
Phone (318) 797-0009

Other identifiers 1

IdentifierTypeStateIssuer
1966525MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040107000652 LA Practitioner - Internal MedicinePractitioner - Infectious Disease 6406755537 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9509LAMDMental Health Counselor
09509RLAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Webster Emergency Group LLC Emergency Medicine CurrentSince Jan 26, 2007 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince Oct 7, 2012 Accepting new patients
Hospital Care Consultants Region II Inc Past Accepting new patients
Benton Family Medicine, LLC Past Accepting new patients
Louisiana Em-1 Medical Services, PC Past Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients

Locations

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

254 Highway 3048
#C
Rayville, LA 71269
Phone (318) 728-4181

254 Highway 3048
Rayville, LA 71269
Phone (318) 728-4181

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1881631430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53134",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711353134",
            "telephone_number": "318-797-0009",
            "fax_number": "318-797-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BERT KOUNS LOOP",
            "address_2": "SUITE 104",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055603",
            "telephone_number": "318-797-0009",
            "fax_number": "318-797-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANDO",
        "first_name": "IRAM",
        "middle_name": "KAREEMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "09509R",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "09509R",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "09509R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1966525",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.