Healthcare Provider Details

I. General information

NPI: 1831172329
Provider Name (Legal Business Name): ZIWAR F KARABATAK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 01/20/2021
Certification Date: 01/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8057 WASHINGTON VILLAGE DR
CENTERVILLE OH
45458-1847
US

IV. Provider business mailing address

1380 E STROOP RD
KETTERING OH
45429-4926
US

V. Phone/Fax

Practice location:
  • Phone: 937-312-9890
  • Fax: 937-312-9810
Mailing address:
  • Phone: 937-293-3486
  • Fax: 937-293-3605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35060846K
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number35060846
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: