Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 28467 | NE |
N | 207RC0000X | Internist - Cardiovascular Disease | 39856 | CO |
N | 207RI0011X | Interventional Cardiology | 39856 | CO |
NPI | 1023108701 |
---|---|
Provider Name | Ronald Zolty |
First Address | Omaha, NE 68198-8102 |
Second Address | Omaha, NE 68198-2301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 29/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
55735851 | (05) | CO |
H46483 | (02) |