Basic Information
Provider Information
NPI: 1326041138
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAUMOVSKI
FirstName: ZORAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 272 HOSPITAL RD
Address2:  
City: CHILLICOTHE
State: OH
PostalCode: 456019031
CountryCode: US
TelephoneNumber: 7407798575
FaxNumber: 7407798579
Practice Location
Address1: 272 HOSPITAL RD
Address2:  
City: CHILLICOTHE
State: OH
PostalCode: 456019031
CountryCode: US
TelephoneNumber: 7407798700
FaxNumber: 7407798709
Other Information
ProviderEnumerationDate: 05/24/2005
LastUpdateDate: 12/29/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/29/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X35073760NOHN Allopathic & Osteopathic PhysiciansPediatrics 
207R00000X35.073760OHY Allopathic & Osteopathic PhysiciansInternal Medicine 

ID Information
IDTypeStateIssuerDescription
217494505OH MEDICAID


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