Provider Demographics
NPI:1275244873
Name:PAVEL, DRAGOS N
Entity Type:Individual
Prefix:
First Name:DRAGOS
Middle Name:N
Last Name:PAVEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 GRAHAM DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-1478
Mailing Address - Country:US
Mailing Address - Phone:740-590-1274
Mailing Address - Fax:
Practice Address - Street 1:36 GRAHAM DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-1478
Practice Address - Country:US
Practice Address - Phone:740-590-1274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide