Provider Demographics
NPI:1073564035
Name:ZARRABI, FARANAK (MD)
Entity type:Individual
Prefix:
First Name:FARANAK
Middle Name:
Last Name:ZARRABI
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 1:2021 BANEY RD S STE A
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-4574
Mailing Address - Country:US
Mailing Address - Phone:419-289-1133
Mailing Address - Fax:419-289-1132
Practice Address - Street 1:2021 BANEY RD S STE A
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-4574
Practice Address - Country:US
Practice Address - Phone:419-289-1133
Practice Address - Fax:419-289-1132
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35086967207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2635410Medicaid
OHZA4177742Medicare PIN
OHP00405301Medicare PIN
OHI49201Medicare UPIN