Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 04-37038 | KS |
N | 207V00000X | Obstetrician & Gynecologist | 2015016230 | MO |
N | 207V00000X | Obstetrician & Gynecologist | 45068 | KY |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 04-37038 | KS |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 2015016230 | MO |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 35.096404 | OH |
NPI | 1528257888 |
---|---|
Provider Name | Dani Zoorob |
First Address | Toledo, OH 43604-1531 |
Second Address | Sylvania, OH 43560-2190 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2007 |
Last Update Date | 26/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0255732 | (05) | OH |