DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PAVEL L ZAVERUKHA

Active Sole Proprietor

Community Health Worker · MERIDIAN, ID

Registration Details

NPI Number
1124561063
Provider Type
Individual
Gender
Male
NPI Issued
Nov 26, 2016 (9.4025159600978 yrs)
Last Updated
Nov 26, 2016
License
OTA-1036 (ID)
Sole Proprietor
Yes

Practice Information

Address
4933 W ASTONTE ST
MERIDIAN, ID, 836467101
Browse ID providers · Browse ZIP 83646
Phone
2083928056
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in MERIDIAN, ID

Name Credential NPI
CHERYL BOTTING-HAMMACK M.S. 1376955013
LYUBOV ZAVERUKHA 1811430770
SETH LEONARD BS 1821858150
KRISTY HARDY 1003667031
SAMUEL GEBREMEDHN ETAY 1417811498
ZACHARY STEARS 1487513040
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.