Provider Demographics
NPI:1396776084
Name:ARBISER, ZOYA KVITASH (MD)
Entity type:Individual
Prefix:DR
First Name:ZOYA
Middle Name:KVITASH
Last Name:ARBISER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11 UPPER RIVERDALE RD SW
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-2615
Mailing Address - Country:US
Mailing Address - Phone:770-991-8615
Mailing Address - Fax:770-991-8689
Practice Address - Street 1:DEPARTMENT OF PATHOLOGY/SOUTHERN REGIONAL MEDICAL CENTE
Practice Address - Street 2:11 UPPER RIVERDALE RD
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274
Practice Address - Country:US
Practice Address - Phone:770-991-8615
Practice Address - Fax:770-991-8689
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA45702207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00933006AMedicaid
22BDDCCMedicare ID - Type Unspecified
GA00933006AMedicaid