Provider Demographics
NPI:1689678625
Name:ZAVELA, NORMAN G (MD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:G
Last Name:ZAVELA
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 1:3812 TRUMAN RD
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-9729
Mailing Address - Country:US
Mailing Address - Phone:419-345-8129
Mailing Address - Fax:
Practice Address - Street 1:2600 NAVARRE AVE
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3207
Practice Address - Country:US
Practice Address - Phone:419-696-7701
Practice Address - Fax:419-696-7866
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI35068488207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2011745Medicaid
OHG02041Medicare UPIN
OHZA0780844Medicare ID - Type Unspecified