Provider Demographics
NPI:1548480916
Name:ZAVEN JABOURIAN,M.D.,P.C.
Entity type:Organization
Organization Name:ZAVEN JABOURIAN,M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JABOURIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-964-7439
Mailing Address - Street 1:P.O.BOX 656
Mailing Address - Street 2:
Mailing Address - City:DORAN
Mailing Address - State:VA
Mailing Address - Zip Code:24612
Mailing Address - Country:US
Mailing Address - Phone:276-964-7439
Mailing Address - Fax:276-963-3070
Practice Address - Street 1:6139 GOVERNOR GEORGE C.PEERY HIGHWAY
Practice Address - Street 2:
Practice Address - City:DORAN
Practice Address - State:VA
Practice Address - Zip Code:24612
Practice Address - Country:US
Practice Address - Phone:276-964-7439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101044007207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC10078Medicare PIN
VAB36721Medicare UPIN
VADG2385Medicare PIN