Provider Demographics
NPI:1366527756
Name:ZERINGUE, NANO K (MD)
Entity type:Individual
Prefix:DR
First Name:NANO
Middle Name:K
Last Name:ZERINGUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 CANAL BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-4506
Mailing Address - Country:US
Mailing Address - Phone:985-448-3353
Mailing Address - Fax:985-448-1276
Practice Address - Street 1:900 CANAL BLVD STE 3
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-4506
Practice Address - Country:US
Practice Address - Phone:985-448-3353
Practice Address - Fax:985-448-1276
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA12816R174400000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAP00155035OtherRAILROAD MEDICARE
LA0007025369OtherAETNA
LA1574155Medicaid
LA1574155Medicaid
LA0007025369OtherAETNA
LA5429810001Medicare NSC