Provider Demographics
NPI:1376166215
Name:ZARBAILOV, IDAN (PA)
Entity Type:Individual
Prefix:
First Name:IDAN
Middle Name:
Last Name:ZARBAILOV
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:6484 MAPLEWOOD RD APT 202
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-1943
Mailing Address - Country:US
Mailing Address - Phone:440-409-9608
Mailing Address - Fax:
Practice Address - Street 1:7050 BIDDULPH RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:OH
Practice Address - Zip Code:44144-3312
Practice Address - Country:US
Practice Address - Phone:216-749-7888
Practice Address - Fax:216-749-6660
Is Sole Proprietor?:No
Enumeration Date:2020-05-27
Last Update Date:2023-04-20
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant