Healthcare Provider Details

I. General information

NPI: 1427753482
Provider Name (Legal Business Name): CARLI ZAK SEBEST DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2023
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 PORTAGE TRL
CUYAHOGA FALLS OH
44223-2108
US

IV. Provider business mailing address

1625 PORTAGE TRL
CUYAHOGA FALLS OH
44223-2108
US

V. Phone/Fax

Practice location:
  • Phone: 330-920-8333
  • Fax:
Mailing address:
  • Phone: 330-719-7719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number34.018598
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: