Provider Demographics
NPI:1487758660
Name:JABOURIAN, ZAVEN (MD)
Entity type:Individual
Prefix:
First Name:ZAVEN
Middle Name:
Last Name:JABOURIAN
Suffix:
Gender:M
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:PO BOX 656
Mailing Address - Street 2:ROUTE 460
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 GOV GC PEERY HIGHWAY
Practice Address - Street 2:
Practice Address - City:RICHLANDS
Practice Address - State:VA
Practice Address - Zip Code:24641
Practice Address - Country:US
Practice Address - Phone:276-964-7439
Practice Address - Fax:276-963-3070
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101044007207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA200638OtherBCBS ANTHEM
0004354668OtherAETNA
VA200638OtherBCBS ANTHEM
0004354668OtherAETNA