Provider Demographics
NPI:1114014511
Name:ARNAEZ ZAPATA, GERARDO E (MD)
Entity type:Individual
Prefix:
First Name:GERARDO
Middle Name:E
Last Name:ARNAEZ ZAPATA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5750 JOHNSTON ST STE 205
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-5345
Mailing Address - Country:US
Mailing Address - Phone:337-991-9276
Mailing Address - Fax:336-360-8560
Practice Address - Street 1:5306 NC HIGHWAY 55 STE 105
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-7812
Practice Address - Country:US
Practice Address - Phone:337-991-9276
Practice Address - Fax:336-360-8560
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2011-01935207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000624188OtherANTHEM
OR287061Medicaid
KY7100085140Medicaid
KYP00752413OtherRAILROAD
ORH54530Medicare UPIN
ORR114504Medicare PIN
KY1307447Medicare PIN