Provider Demographics
NPI:1932193208
Name:ZAKOV, ZVETAN NICHOLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ZVETAN
Middle Name:NICHOLAS
Last Name:ZAKOV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:Z.
Other - Middle Name:NICHOLAS
Other - Last Name:ZAKOV
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3401 ENTERPRISE PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7341
Mailing Address - Country:US
Mailing Address - Phone:216-831-5700
Mailing Address - Fax:216-831-1959
Practice Address - Street 1:3401 ENTERPRISE PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-7341
Practice Address - Country:US
Practice Address - Phone:216-831-5700
Practice Address - Fax:216-831-1959
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-03-6612207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH35-03-6612OtherOHIO LICENSE NUMBER
OH0445825Medicaid
OHA80588Medicare UPIN