Healthcare Provider Details

I. General information

NPI: 1144285255
Provider Name (Legal Business Name): ZORAN R. DANOV M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 04/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHANDLER MEDICAL CENTER 740 S LIMESTONE PEDIATRIC PULMONARY, UKY, J420 KENTUCKY CLINIC
LEXINGTON KY
40536-0284
US

IV. Provider business mailing address

CHANDLER MEDICAL CENTER 740 S LIMESTONE PEDIATRIC PULMONARY, UKY, J420 KENTUCKY CLINIC
LEXINGTON KY
40536-0284
US

V. Phone/Fax

Practice location:
  • Phone: 859-257-5536
  • Fax: 859-257-1888
Mailing address:
  • Phone: 859-257-5536
  • Fax: 859-257-1888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number42811
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number42811
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: