Provider Demographics
NPI:1689660698
Name:ZARRABY, ROYA (MD)
Entity Type:Individual
Prefix:
First Name:ROYA
Middle Name:
Last Name:ZARRABY
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 1:625 AFRICA RD STE 240
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-9808
Mailing Address - Country:US
Mailing Address - Phone:614-508-2672
Mailing Address - Fax:614-508-2668
Practice Address - Street 1:625 AFRICA RD STE 240
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-9808
Practice Address - Country:US
Practice Address - Phone:614-508-2672
Practice Address - Fax:614-508-2668
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-26
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-07-1175207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2096744Medicaid
OH0866282Medicare PIN
OHG88147Medicare UPIN