Provider Demographics
NPI:1437186947
Name:ZANOTTI, SALENA D (MD)
Entity Type:Individual
Prefix:
First Name:SALENA
Middle Name:D
Last Name:ZANOTTI
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 1:36901 AMERICAN WAY
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011
Mailing Address - Country:US
Mailing Address - Phone:440-930-6200
Mailing Address - Fax:440-930-6201
Practice Address - Street 1:36901 AMERICAN WAY
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011
Practice Address - Country:US
Practice Address - Phone:440-930-6200
Practice Address - Fax:440-930-6201
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2009-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35083383207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2479090Medicaid
OH7341721Medicare PIN
H41680Medicare UPIN
OH0142708Medicare PIN